PAUL WATERS


Address: 1855 Piedmont Rd, Ste. 102, Marietta, GA 30066-4271
Phone: 7705650132

PAUL WATERS (NPI# 1053448761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053448761
Entity Type Individual
Full Name PAUL WATERS
Credential D.D.S.
Practice Address 1855 Piedmont Rd
Ste. 102
Marietta
GA 30066-4271
Practice Telephone 7705650132
Mailing Telephone 7705650132
Enumeration Date 2007-02-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
GA9986 GA Dental Providers

Other Providers PAUL WATERS

NPI Name Taxonomy Address Enumeration
1649584483 Paul E Waters Pharmacist 1 East Stone Ave, Greenville, SC 29609 2010-08-04
1811955958 Paul Frederick Waters Thoracic Surgery (Cardiothoracic Vascular Surgery) 77 Lafayette Pl, Suite 302, Greenwich, CT 06830-5426 2006-05-01
1730191065 Paul A Waters Family Medicine 782 E Harding Way, Stockton, CA 95204-6101 2006-08-13

Office Location

Street Address 1855 PIEDMONT RD
STE. 102
City MARIETTA
State GA
Zip Code 30066-4271

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NPI Name Taxonomy Address Enumeration
1598253684 Comfort Community Center, LLC Skilled Nursing Facility 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 2018-04-25
1538681994 Passionate Care In Home Supportive Care 1110 Renfro Ln., Marietta, GA 30066 2017-07-07
1437510443 Steven Caras Internal Medicine 2682 Bonaire Terrace, Marietta, GA 30066 2016-03-18
1275918781 Latifat Bolajoko Asemota Nurse Practitioner 410 Nottingham Dr, Marietta, GA 30066 2015-07-26
1497094205 Changing Phases Behavioral Support, Inc Internal Medicine 3655 Canton Rd Ste 201, Marietta, GA 30066 2013-02-14
1659618916 Alison Nicole Sims Occupational Therapist 2465 Canopy Drive, Marietta, GA 30066 2013-01-07
1790044907 Antoine Jose Davenport Massage Therapist 4686 Jamerson Creek Dr, Marietta, GA 30066 2012-05-08
1174898548 Angel Elizabeth Nofziger Nurse Practitioner 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 2012-03-18
1912298019 Nancy Jean Slack Pharmacist 2833 Canton Road, Marietta, GA 30066 2011-04-22
1336456078 Mario B Miller Sr. Chiropractor 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 2010-09-01
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427659028 My Emergency Dental Ga, LLC Dentist 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 2020-11-02
1811536212 Sandy Plains Dental Group, PC Dentist 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 2020-01-02
1104381359 Castiblanco Dental Care LLC Dentist 3901 Roswell Rd Ste 220, Marietta, GA 30062-8816 2019-02-01
1982102653 Superior Dental of East Cobb, LLC Dentist 2745 Sandy Plains Rd Ste 118, Marietta, GA 30066-4327 2018-01-29
1477068823 Gina Dental LLC Dentist 1000 Johnson Ferry Rd Ste E125, Marietta, GA 30068-2100 2017-12-07
1669994109 Boban Fidanoski Dentist 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 2017-07-15
1245760859 Michael H Mulkey, Dmd PC Dentist 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 2017-06-15
1659724532 Neha Chakravarti Dentist 2230 Roswell Rd Ste 200, Marietta, GA 30062-2945 2016-07-15
1104218361 Georgia Dental Professionals, PC Dentist 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 2015-02-25
1124429212 Family Tree Dental D Austin Rehl Dds and Peter E Lovejoy Dds LLC Dentist 30 Acme St, Marietta, OH 45750-3306 2014-09-09
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Competitor

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City MARIETTA
Zip Code 30066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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