# WATERS FAMILY DENTISTRY, PA

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

## Provider details

- **NPI number:** 1770850984
- **Authorized official:** JOHN M WATERS DMD (DENTIST)
- **Authorized official phone:** (864) 226-6278

## Contact information

- **Practice address:** 512 REED RD, ANDERSON, SC 29621-2058
- **Practice address phone:** (864) 226-6278
- **Practice address fax:** (862) 225-1924
- **Mailing address:** 512 REED RD, ANDERSON, SC 29621-2058
- **Mailing address phone:** (864) 226-6278
- **Mailing address fax:** (862) 225-1924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4716 | SC | Yes |

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 11/17/2011