TRACY J. WATERS, DDS., PA (NPI# 1285704510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285704510 |
| Entity Type | Organization |
| Organization Name | TRACY J. WATERS, DDS., PA |
| Other Organization Name | CAROLINA SMILES DENTAL CLINIC |
| Practice Address |
4210 N Roxboro St Suite 100 Durham NC 27704-1826 |
| Practice Telephone | 9196206700 |
| Practice Fax Number | 9196207360 |
| Mailing Telephone | 9196206700 |
| Mailing Fax Number | 9196207360 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | DR. TRACY J. WATERS (PRESIDENT) |
| Authorized Official Telephone | 9196206700 |
| Authorized Official Credential | DDS, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7337 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89016JF | 05 |
| Other Name | Type Code |
|---|---|
| Carolina Smiles Dental Clinic | Doing Business As Name - Organization |
| Street Address |
4210 N ROXBORO ST SUITE 100 |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932151198 | Triangle E N T Services Association Inc | Hearing Instrument Specialist | 4210 N Roxboro St, Suite 140, Durham, NC 27704-1874 | 2006-05-16 |
| 1831143619 | Robert E Taylor | Otolaryngology | 4210 N Roxboro St, Suite 140, Durham, NC 27704-1874 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220356 | Anne Kathryn Dorsey | Dentist | 1922 Bivins St, Durham, NC 27707-1402 | 2020-06-22 |
| 1164048625 | Aman Masoomi | Dentist | 1205 Pondfield Way, Durham, NC 27713-7609 | 2020-06-21 |
| 1801417878 | Logan Alexander Eaker | Dentist | 7 Coach Ter, Durham, NC 27713-6094 | 2020-04-30 |
| 1649820093 | Oyegunwa and Associates II, Pllc | Dentist | 3219 Watkins Rd Ste 103, Durham, NC 27707-3331 | 2019-09-18 |
| 1568956084 | Laurent Pilon | Dentist | 2741 Campus Walk Ave Bldg 300, Durham, NC 27705-8878 | 2018-06-18 |
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1083113948 | Deepika Verma Dmd Pllc | Dentist | 2003 E Nc Highway 54 Ste A, Durham, NC 27713-2483 | 2018-02-06 |
| 1447765094 | Alterman Dhillon and Associates | Dentist | 202 W Nc Hwy 54, Suite 201, Durham, NC 27713 | 2017-12-05 |
| 1295196418 | Dr Li Qian Dds Pllc | Dentist | 6104 Fayetteville Rd Ste 106, Durham, NC 27713-6283 | 2016-03-15 |
| 1841688033 | Jonathan Joseph Puza | Dentist | 3608 University Dr Ste 104, Durham, NC 27707-6260 | 2014-12-23 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on TRACY J. WATERS, DDS., PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.