George J Walters Dds Pa

LBN: George J Walters Dds Pa
George J Walters Dds Pa is an health care organization with primary practice located at 2202 State Ave Suite 200, Panama City FL 32405-7601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. George J Walters Dds Pa can be contacted via phone (850) 763-8585, or through Walters, George J via phone (850) 763-8585.

Contact Information

Primary practice address
2202 State Ave Suite 200 Panama City FL 32405-7601
Phone: (850) 763-8585
Fax: (850) 763-3920
Website:
Map and Directions
Authorized official contact:
Name: Walters, George J Doctor of Dental Surgery (DDS)
Phone: (850) 763-8585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN0012432 Florida

Profile Details

NPI number 1861765943
LBN Legal business name George J Walters Dds Pa
DBA Doing business as George J Walters Dds Pa
Authorized official Walters, George J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2012
Last updated Feb 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861765943 NPPES
Florida MEDICAID 073701101

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