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Contact Information

DR VICTOR L WALSH DMD PA
1313 ASTON AVE
MCCOMB, MS39648-2825
 Phone: 601-684-7921
 Fax: 601-684-7950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR VICTOR L WALSH DMD PA

NPI # 1952608846
LBN Legal business name DR VICTOR L WALSH DMD PA
Authorized official VICTOR WALSH - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2011
Last updated 02/11/2011 - About 15 years ago
Identifiers
MS License # 1619-74
MS Medicaid 00063300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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