Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912980541 Deactivated / Inactive NPI Male Practitioner

Dr. Maurice Newton Waters , DDS

Dentist • Clovis, NM

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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. Maurice Waters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2005
NPI Deactivation Date October 06, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Maurice Waters, DDS was a registered Dentist practicing in Clovis, NM. Throughout an active medical career spanning 15 years, Dr. Waters provided care at the practice location at 116 W 21ST ST until profile deactivation on 2020-10-06.

Practice Location & Contact Primary Location

Practice Address

116 W 21st St

Clovis, NM 881014364

Telephone 5057637632
Fax 5057624226
Associated Practice Facility / Clinic
🏢 Mark N. Waters, D.d.s, P.c. Facility NPI 1023472313

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Clovis, NM (630 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD508

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mark Waters , DDS

Dentist - General Practice

NPI 1699789586

Doctor of Dental Surgery

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 October 06, 2020

Record deactivated on October 06, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 116 W 21ST ST, CLOVIS, NM 881014364 (Tel: 5057637632)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 958, 116 W 21ST, CLOVIS, NM 881020958 (Tel: 5057637632)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MAURICE WATERS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DD508 in NM)

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Initial NPI Registration & Enumeration November 29, 2005

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: 1912980541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2005
Last Update: July 08, 2007
Deactivation Date: October 06, 2020

Mailing Address

Po Box 958, 116 W 21st

Clovis, NM 881020958

Phone: 5057637632

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.