Individual provider · Type 1 NPI

Clinton Robert Waters Jr., DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Watertown, NY

NPI number 1689895658 Active

Practice location

145 Clinton Street, Suite 103
Watertown, NY 13601-3621

Mailing address

108 Stafford Drive
Black River, NY 13612-2145

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X27807 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1689895658

Clinton Robert Waters Jr., DMD's National Provider Identifier is 1689895658, issued on May 1, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Watertown, NY. The record was last updated on Jul 8, 2007.