PAUL WATERS (NPI# 1053448761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
GA9986 | GA | Dental Providers |
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 |
Street Address |
1855 PIEDMONT RD STE. 102 |
City | MARIETTA |
State | GA |
Zip Code | 30066-4271 |
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 |
Find all providers in zip 30066 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
Find all providers in MARIETTA |
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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.