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Contact Information

JAMES M. WALTER, JR, DDS, MS, PA
3020 MAPLEWOOD AVENUE
WINSTON-SALEM, NC27103
 Phone: 336-768-9881
 Fax: 336-768-6066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Oral and Maxillofacial Pathology

1223P0106X
Indicates primary specialty

NPI Profile & details for JAMES M. WALTER, JR, DDS, MS, PA

NPI Number 1124070222
LBN Legal business name JAMES M. WALTER, JR, DDS, MS, PA
Authorized official JAMES WALTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2006
Last updated 11/14/2012 - About 14 years ago
Identifiers
NC License # 4128
NC License # 7036
NC Medicaid 890191N
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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