JAMES M. WALTER JR DDS MS PA NPI 1124070222

NPI Information

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:

Other Identifiers

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