MARK N. WATERS, D.D.S, P.C.
NPI 1023472313
Dentist in Clovis, NM

Active since April 12, 2016
116 W 21ST ST, CLOVIS, NM 88101(575) 763-7632(575) 762-4226 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark N. Waters, D.d.s, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK N. WATERS, D.D.S, P.C. (NPI 1023472313) is a healthcare organization registered as a dentist in Clovis, New Mexico and active in the NPI registry since April 2016. The organization lists Mark Newton Waters, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1023472313
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMARK N. WATERS, D.D.S, P.C.
Location Address116 W 21ST STClovis, NM 88101-4364
Mailing Address116 W 21st StClovis, NM 88101-4364 · (575) 763-7632 · Fax (575) 762-4226
Fax(575) 762-4226
Organization SubpartNo
Authorized OfficialMark Newton WatersPresident/dentist · (575) 763-7632
Enumeration DateApril 12, 2016
NPI 1023472313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NM · DD1426
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
116 W 21ST ST, Clovis, NM 88101

Other Identifiers 2

Other794219PA · United Corcordia
Medicaid69880832NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
116 W 21ST ST
CLOVIS, NM 88101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark N. Waters, D.D.S, P.C.'s NPI number?

The NPI number for Mark N. Waters, D.D.S, P.C. is 1023472313. It was assigned to this organization in the NPPES registry on April 12, 2016.

Where is Mark N. Waters, D.D.S, P.C. located?

Mark N. Waters, D.D.S, P.C. is located at 116 W 21st St, Clovis, NM 88101. The listed phone number is (575) 763-7632.

What is Mark N. Waters, D.D.S, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mark N. Waters, D.D.S, P.C. was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.