JAMES M. WALTER JR DDS MS PA NPI 1124070222

NPI Information

  • NPI: 1124070222
  • Provider Name: JAMES M. WALTER, JR, DDS, MS, PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 3020 MAPLEWOOD AVENUE
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 768-9881

Map and Directions

Get Directions

NPI Details

JAMES M. WALTER, JR, DDS, MS, PA is an oral and maxillofacial surgery dentist in Winston Salem, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JAMES M. WALTER, JR, DDS, MS, PA NPI is 1124070222. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3020 MAPLEWOOD AVENUE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-9881
Fax: (336) 768-6066

The provider's authorized official is James M Walter .
The authorized official title is Owner and has the following contact phone number (336) 768-9881.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 11/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0106XDentistOral and Maxillofacial PathologyNORTH CAROLINANo
21223S0112XDentistOral and Maxillofacial Surgery7036NORTH CAROLINANo
31223S0112XDentistOral and Maxillofacial Surgery4128NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12429689MEDICARE ID-TYPE UNSPECIFIED
2890191NMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI