Individual provider · Type 1 NPI

Glenn Stewart Waters, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Cincinnati, OH

NPI number 1245293604 Active

Practice location

10506 Montgomery Rd, Suite 203
Cincinnati, OH 45242-4487

Call (513) 791-0550 Map

Fax (513) 791-1517

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X30022099 (OH)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1245293604

Glenn Stewart Waters, DDS, MD's National Provider Identifier is 1245293604, issued on Apr 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 8, 2007.