Walter, James M
Walter, James M is an individual health care provider with primary practice located at 3020 Maplewood Ave , Winston Salem NC 27103-4012. He 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 his primary health care specialty. Walter, James M can be contacted via phone (336) 768-9881.Contact Information
Primary practice address
3020 Maplewood Ave
Winston Salem NC 27103-4012
Phone: (336) 768-9881
Fax: (336) 768-6066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 4128 | North Carolina |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4128 | North Carolina |
Profile Details
| NPI number | 1356364533 |
|---|---|
| LBN Legal business name | Walter, James M |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356364533 | NPPES |
| North Carolina | MEDICAID | 8998854 |
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