Genesis Dental Group Opelika PC

NPI #1306382767 in Opelika, Alabama

Provider Information

NPI Number: 1306382767
Entity Type: Organization
Organization Name: Genesis Dental Group Opelika PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2017
Last Updated: Jan 10, 2017

Practice Location

Address: 1995 PEPPERELL PKWY
Address 2: SUITE1
City: Opelika
State: Alabama
ZIP Code: 36801-5460
Phone: (334) 281-2451

Authorized Official

Name: DR. FORREST E WATERS III, DMD
Title: OWNER/TREASURER
Phone: (334) 281-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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