DR. PATRICK JOSEPH WATERS (NPI# 1700016904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700016904 |
| Entity Type | Individual |
| Full Name | DR. PATRICK JOSEPH WATERS |
| Credential | DDS |
| Practice Address |
2304 Midwestern Pkwy Ste 102 Wichita Falls TX 76308-2332 |
| Practice Telephone | 9406961544 |
| Mailing Telephone | 9406961544 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
24738 | TX | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | Q2717 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831279421 | Patrick J. Waters | Social Worker | 1727 Wrightsboro Rd Ste B, Augusta, GA 30904-4074 | 2006-10-17 |
| 1356302715 | Patrick Timothy Waters | Family Medicine | 2101 W Lehigh Ave Ste A, Philadelphia, PA 19132-2664 | 2006-03-28 |
| 1205941200 | Patrick William Waters | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-20 |
| 1720084718 | Patrick R Waters | Urology | 2800 Hayes Ave, Bldg D, Sandusky, OH 44870-7252 | 2005-06-23 |
| Street Address |
2304 MIDWESTERN PKWY STE 102 |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922238963 | Andrew Robert Mueller | Dentist | 2304 Midwestern Pkwy Ste 102, Wichita Falls, TX 76308-2332 | 2009-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649834680 | Live Oak Oral Surgery of Texas Pllc | Dentist | 2708 Southwest Pkwy Ste 130, Wichita Falls, TX 76308-3735 | 2019-04-25 |
| 1548321177 | Charles Jesse Hickman IIi | Dentist | 2304 Midwestern Pkwy, Suite 102, Wichita Falls, TX 76308-2342 | 2006-12-13 |
| 1528000841 | Sandra Vergara | Dentist | 1004 Brook Ave, Wichita Falls, TX 76301-5031 | 2006-06-12 |
| 1255710752 | Wichita Falls Oral and Facial Surgery, Pllc | Dentist | 2304 Midwestern Pkwy, Suite 102, Wichita Falls, TX 76308-2342 | 2015-05-29 |
| 1922238963 | Andrew Robert Mueller | Dentist | 2304 Midwestern Pkwy Ste 102, Wichita Falls, TX 76308-2332 | 2009-07-24 |
| 1568576882 | Richard A. Urbanek Jr. | Dentist | 5 Eureka Cir, Suite B, Wichita Falls, TX 76308-2900 | 2006-08-17 |
| 1194721597 | Stephen Clyde Farr | Dentist | 2100 Brook Ave, Wichita Falls, TX 76301-5626 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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| 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.