Mark Newton Waters, D.D.S.

General Practice Dentistry · Clovis, NM

Individual Active NPI

NPI number 1699789586

Practice location

116 W 21st St
Clovis, NM 88101-4364
Phone
(505) 763-7632

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NPI record

NPI
1699789586
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DD1426 NM NM

About Dr. Waters

Mark Newton Waters, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 116 W 21st St, Clovis, NM 88101-4364. The NPI number 1699789586 was assigned on July 28, 2006 and the record was last updated on July 8, 2007.

Dr. Waters lists a license in the registry: #DD1426 NM (NM) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Newton Waters, D.D.S.?

The NPI number is 1699789586.

What is the phone number of Dr. Waters?

The phone number listed for the practice location is (505) 763-7632.

Where is Dr. Waters located?

116 W 21st St, Clovis, NM 88101-4364.

What is the taxonomy code for Dr. Waters?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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