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JEFFREY K WATERS D.M.D. P.C NPI 1396933792


NPI Information

NPI: 1396933792
Provider Name: JEFFREY K WATERS D.M.D., P.C

Other Name: ENDODONTICS OF ATLANTA

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
2680 LAWRENCEVILLE HWY
SUITE 102
DECATUR, GA
ZIP 30033
Phone: (678) 990-8034
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JEFFREY K WATERS D.M.D., P.C is an endodontics dentist in Decatur, GA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. JEFFREY K WATERS D.M.D., P.C NPI is 1396933792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Endodontics Of Atlanta.

The provider's business location address is:

2680 LAWRENCEVILLE HWY
SUITE 102
DECATUR, GA
ZIP 30033-500
Phone: (678) 990-8034
Fax: (770) 934-7176

The provider's authorized official is Jeffrey Kent Waters .
The authorized official title is Owner and has the following contact phone number (678) 990-8034.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 9/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsDN013125GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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