DR. JENNIFER RUTH WATERS DMD NPI 1154736254

NPI Information

NPI: 1154736254
Provider Name: DR. JENNIFER RUTH WATERS, DMD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
VCU SCHOOL OF DENTISTRY 521 N. 11TH STREET
SUITE 317
RICHMOND, VA
ZIP 23298
Phone: (804) 828-9095
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DR. Jennifer Ruth Waters, DMD is a student in an organized health care education training program in Richmond, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jennifer Ruth Waters, DMD NPI is 1154736254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

VCU SCHOOL OF DENTISTRY 521 N. 11TH STREET
SUITE 317
RICHMOND, VA
ZIP 23298
Phone: (804) 828-9095

The enumeration date for this NPI number is 6/26/2014 and was last updated on 9/16/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN20626	FLORIDA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		0401416455	VIRGINIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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