Tracy J. Waters, Dds., Pa in Durham - General Practice

Tracy J. Waters, Dds., Pa - NPI 1285704510

Tracy J. Waters, Dds., Pa is a General Practice in Durham, North Carolina. Tracy J. Waters, Dds., Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tracy J. Waters, Dds., Pa is 1285704510. The last update date is 2008-06-12.

Tracy J. Waters, Dds., Pa's current location address is 4210 N Roxboro St, Durham, North Carolina. You can contact this provider via phone number 9196206700 and fax number 9196207360. The mailing address for Tracy J. Waters, Dds., Pa is 4210 N Roxboro St, Durham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tracy J. Waters, Dds., Pa
Address 4210 N Roxboro St, Durham, North Carolina
Phone Number 9196206700
Fax Number 9196207360
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Waters J. Tracy
Credentials DDS, PA
Telephone Number 9196206700

NPI Number Detail

NPI Number 1285704510
Provider Enumeration Date 2006-11-08
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 4210 N Roxboro St
City Durham
State North Carolina (NC)
Post Code 277041826
Phone Number 9196206700
Fax Number 9196207360

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7337
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89016JF NC --

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FAQs about Tracy J. Waters, Dds., Pa

What is the unique identifier code issued to Tracy J. Waters, Dds., Pa by the Centers for Medicare & Medicaid Services?

The Tracy J. Waters, Dds., Pa has been assigned the NPI (National Provider Identifier) 1285704510. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Tracy J. Waters, Dds., Pa is located?

The Tracy J. Waters, Dds., Pa is situated at the following address: 4210 N Roxboro St, Durham, NC, 277041826.

What is Tracy J. Waters, Dds., Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracy J. Waters, Dds., Pa is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

When did the Tracy J. Waters, Dds., Pa receive its 1285704510?

The Tracy J. Waters, Dds., Pa was issued its 1285704510 on 2006-11-08, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Tracy J. Waters, Dds., Pa last refreshed?

The information related to the Tracy J. Waters, Dds., Pa, including its address, specialty, and other relevant details, was last updated on 2008-06-12.

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