Walther, Russell
Walther, Russell is an individual health care provider with primary practice located at 2648 Centennial Pl , Tallahassee FL 32308-0572. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Walther, Russell can be contacted via phone (850) 523-3000.Contact Information
Primary practice address
2648 Centennial Pl
Tallahassee FL 32308-0572
Phone: (850) 523-3000
Fax: (850) 523-0831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN 21651 | Florida |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ME 126426 | Florida |
Profile Details
| NPI number | 1073837746 |
|---|---|
| LBN Legal business name | Walther, Russell |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2010 |
| Last updated | Aug 24th, 2016 - about 8 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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