Walters, Daniel Claybourn

Walters, Daniel Claybourn is an sole proprietor health care provider with primary practice located at 580 Farringdom St , Lumberton NC 28358-2615. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walters, Daniel Claybourn can be contacted via phone (910) 671-4601.

Contact Information

Primary practice address
580 Farringdom St Lumberton NC 28358-2615
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8190 North Carolina

Profile Details

NPI number 1669623104
LBN Legal business name Walters, Daniel Claybourn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2008
Last updated Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669623104 NPPES
North Carolina MEDICAID 5909749

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