Waters Family Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4716 Issued in SC

Legal business name

WATERS FAMILY DENTISTRY, PA

Practice address

512 Reed Rd
Anderson, SC 29621-2058

Phone

(864) 226-6278

Fax

(862) 225-1924

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John M Waters, DMDNPI 1932410115

Title

Dentist

Phone

(864) 226-6278

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Waters, DMD

  • General Practice Dentistry
  • Anderson, SC
  • NPI 1932410115
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1770850984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 REED RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212058",
            "telephone_number": "864-226-6278",
            "fax_number": "862-225-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 REED RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212058",
            "telephone_number": "864-226-6278",
            "fax_number": "862-225-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-226-6278",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen L Ware, LLMFT
• Kaylin Ware, DMD
• Jennifer Warren, DPT
• Rachel Elizabeth Warren, OTR/L
• Tarra Wasilchen, M.D.
• Christopher Russell Waters, PHARM.D.
• John M Waters, DMD
• Dawn Lewis Watkins, RN
• Alvin F Watson Jr.
• Ashley Watson

• General Practice Dentistry in Anderson, SC
• Providers in Anderson, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.