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Deactivated NPI 1679614804 Deactivated / Inactive NPI Male Practitioner

Dr. Warren P Waters , DDS

Dentist - General Practice • Mobile, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Warren Waters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2007
NPI Deactivation Date April 01, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Warren Waters, DDS was a registered Dentist - General Practice practicing in Mobile, AL. Throughout an active medical career spanning 15 years, Dr. Waters provided care at the practice location at 2727 PLEASANT VALLEY RD until profile deactivation on 2022-04-01.

Practice Location & Contact Primary Location

Practice Address

2727 Pleasant Valley Rd

Mobile, AL 366062162

Telephone 2514735705
Fax 2514794709
Associated Practice Facility / Clinic
🏢 Dentaid Dental Center Pc Facility NPI 1316088537

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
108 Specialists

Practicing in Mobile, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 5516

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1205513694
Dr. George Shedd , DMD

Dentist - General Practice

NPI 1558593855

Doctor of Dental Medicine

Dr. Tania Ricciardone , DMD

Dentist - General Practice

NPI 1598053639

Doctor of Dental Medicine

Dr. Kimberly Butts , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1679046932

Doctor of Dental Medicine, Master of Science

Dr. Thuy Mai , DMD

Dentist - General Practice

NPI 1700927944

Doctor of Dental Medicine

Dr. Corey Ford , DMD

Dentist - General Practice

NPI 1720374630

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 01, 2022

Record deactivated on April 01, 2022

NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 02, 2011

Registered at 2727 PLEASANT VALLEY RD, MOBILE, AL 366062162 (Tel: 2514735705)

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Updated Business Mailing Address August 02, 2011

Registered at 2727 PLEASANT VALLEY RD, MOBILE, AL 366062162 (Tel: 2514735705)

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Provider Name / Credentials Updated August 02, 2011

Recorded as WARREN WATERS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Dentist (License #5516 in AL)

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Initial NPI Registration & Enumeration February 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679614804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: August 02, 2011
Deactivation Date: April 01, 2022

Mailing Address

2727 Pleasant Valley Rd

Mobile, AL 366062162

Phone: 2514735705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.