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CAROLINA SMILES DENTAL CLINIC
NPI 1285704510
Dentist - General Practice in Durham, NC

Active since November 08, 2006
4210 N ROXBORO ST, SUITE 100, DURHAM, NC 27704(919) 620-6700(919) 620-7360 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Smiles Dental Clinic NPPES

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

CAROLINA SMILES DENTAL CLINIC (NPI 1285704510) is a healthcare organization registered as a general practice in Durham, North Carolina and active in the NPI registry since November 2006. The organization lists Tracy J. Waters, President, as its authorized official.

NPPES Registry Identity

NPI1285704510
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTRACY J. WATERS, DDS., PA
Location Address4210 N ROXBORO ST, SUITE 100Durham, NC 27704-1826
Mailing Address4210 N Roxboro St, Suite 100Durham, NC 27704-1826 · (919) 620-6700 · Fax (919) 620-7360
Phone(919) 620-6700
Fax(919) 620-7360
Organization SubpartNo
Authorized OfficialTracy J. WatersPresident · (919) 620-6700
Enumeration DateNovember 8, 2006
Last NPPES UpdateJune 12, 2008
✔ NPI 1285704510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 7337
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4210 N ROXBORO ST, Durham, NC 27704
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Other Names 1

Doing Business AsCarolina Smiles Dental Clinic

Other Identifiers 1

Medicaid89016JFNC

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 2

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

DR. ROBERT E TAYLOR M.D.
Otolaryngology
4210 N ROXBORO ST, SUITE 140
DURHAM, NC 27704
Durham County (919) 620-7800
TRIANGLE E N T SERVICES ASSOCIATION INC
Otolaryngology
4210 N ROXBORO ST, SUITE 140
DURHAM, NC 27704
Durham County (919) 620-7800

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 Tracy J. Waters, Dds., PA's NPI number?

The NPI number for Tracy J. Waters, Dds., PA is 1285704510. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Carolina Smiles Dental Clinic.

Where is Tracy J. Waters, Dds., PA located?

Tracy J. Waters, Dds., PA is located at 4210 N Roxboro St Suite 100, Durham, NC 27704. The listed phone number is (919) 620-6700.

What is Tracy J. Waters, Dds., PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tracy J. Waters, Dds., PA was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.