# CHRISTOPHER R WATERS DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1598945511
- **Authorized official:** DR. CHRISTOPHER R WATERS DDS (OWNER DENTIST)
- **Authorized official phone:** (308) 382-1734

## Contact information

- **Practice address:** 2916 W STOLLEY PARK RD, GRAND ISLAND, NE 68801
- **Practice address phone:** (308) 382-1734
- **Practice address fax:** (308) 382-1784
- **Mailing address:** 2916 W STOLLEY PARK RD, GRAND ISLAND, NE 68801
- **Mailing address phone:** (308) 382-1734
- **Mailing address fax:** (308) 382-1784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5631 | NE | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 07/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07816 | BLUECROSS/BLUESHIELD | NE |