Organization
CHRISTOPHER R WATERS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R WATERS DDS (OWNER DENTIST)
(308) 382-1734
Entity
Organization
Contact information
Practice address
2916 W STOLLEY PARK RD, GRAND ISLAND, NE 68801
(308) 382-1734
(308) 382-1784
Mailing address
2916 W STOLLEY PARK RD, GRAND ISLAND, NE 68801
(308) 382-1734
(308) 382-1784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5631
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07816
BLUECROSS/BLUESHIELD
NE
Enumeration date
11/07/2007
Last updated
07/14/2008
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