James M. Walter, Jr, Dds, Ms, Pa

LBN: James M. Walter, Jr, Dds, Ms, Pa
James M. Walter, Jr, Dds, Ms, Pa is an health care organization with primary practice located at 3020 Maplewood Avenue , Winston Salem NC 27103. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. James M. Walter, Jr, Dds, Ms, Pa can be contacted via phone (336) 768-9881, or through Walter, James M via phone (336) 768-9881.

Contact Information

Primary practice address
3020 Maplewood Avenue Winston Salem NC 27103
Fax: (336) 768-6066
Website:
Authorized official contact:
Name: Walter, James M DDS MS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X North Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4128 North Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7036 North Carolina

Profile Details

NPI number 1124070222
LBN Legal business name James M. Walter, Jr, Dds, Ms, Pa
DBA Doing business as
Authorized official Walter, James M DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Nov 14th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124070222 NPPES
North Carolina MEDICAID 890191N

Popular Providers