Mark N. Waters, D.D.S, P.C.
Mark N. Waters, D.D.S, P.C. is a healthcare organization registered as Dentist in Clovis, NM, holding Type 2 (organization) NPI 1023472313 since 2016. The authorized official on file is Mark Waters, President/Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023472313 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark N. Waters, D.D.S, P.C. |
| Practice address | 116 W 21ST ST, Clovis, NM, 88101 |
| Phone | 5757637632 |
| Fax | 5757624226 |
| Enumeration date | 2016-04-12 |
| Last updated in NPPES | 2016-04-12 |
Authorized official
| Name | Mark Waters |
|---|---|
| Title | President/Dentist |
| Phone | 5757637632 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | DD1426 | NM |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 794219 | Other | PA | UNITED CORCORDIA |
| 69880832 | Medicaid | NM | — |
Copy-ready billing details
Provider: Mark N. Waters, D.D.S, P.C. NPI: 1023472313 Taxonomy: 122300000X (Dentist) Address: 116 W 21ST ST, Clovis, NM, 88101
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699789586 | Mark Waters | Individual | General Practice Dentistry | Clovis, NM |
Verify this record
Cross-check NPI 1023472313 against the authoritative CMS record: view Mark N. Waters, D.D.S, P.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mark N. Waters, D.D.S, P.C.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-12.