# NEVIN K WATERS DDS, PA

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

## Provider details

- **NPI number:** 1922029057
- **Authorized official:** RACHEL RAZO (CREDENTIALING)
- **Authorized official phone:** (623) 434-9343

## Contact information

- **Practice address:** 9948 W 87TH ST, SUITE K, OVERLAND PARK, KS 66212-4768
- **Practice address phone:** (623) 434-9343
- **Practice address fax:** (623) 321-6268
- **Mailing address:** 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
- **Mailing address phone:** (623) 434-9343
- **Mailing address fax:** (623) 321-6268

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 06/06/2008