DR. JEFFREY KENT WATERS D.M.D. M.S. NPI 1245404714

NPI Information

  • NPI: 1245404714
  • Provider Name: DR. JEFFREY KENT WATERS, D.M.D., M.S.
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2680 LAWRENCEVILLE HWY
    SUITE 102
    DECATUR, GA
    ZIP 30033
  • Phone: (678) 990-8034

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NPI Details

DR. Jeffrey Kent Waters, D.M.D., M.S. 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. DR. Jeffrey Kent Waters, D.M.D., M.S. NPI is 1245404714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 NPI 1245404714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/16/2008 and was last updated on 8/31/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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