# WATER'S EDGE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558587626
- **Authorized official:** DR. GEOFFREY ROLAND PAINE D.D.S. (OWNER)
- **Authorized official phone:** (231) 723-7957

## Contact information

- **Practice address:** 504 WATER ST, MANISTEE, MI 49660-1544
- **Practice address phone:** (231) 723-7957
- **Practice address fax:** (231) 723-3230
- **Mailing address:** 504 WATER ST, MANISTEE, MI 49660-1544
- **Mailing address phone:** (231) 723-7957
- **Mailing address fax:** (231) 723-3230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13927 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020