WALKER THOMAS PENDARVIS DMD MHS NPI 1700983723

NPI Information

NPI: 1700983723
Provider Name: WALKER THOMAS PENDARVIS, DMD, MHS
Classification: Dentist - 1223P0300X
Specialization: Periodontics
Entity Type: Individual
PECOS Registration: Yes
Address: 6600 ABERCORN ST
SUITE 204
SAVANNAH, GA
ZIP 31405
Phone: (912) 349-3259

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NPI Details

Walker Thomas Pendarvis, DMD, MHS is a periodontics dentist in Savannah, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Walker Thomas Pendarvis, DMD, MHS NPI is 1700983723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6600 ABERCORN ST
SUITE 204
SAVANNAH, GA
ZIP 31405-800
Phone: (912) 349-3259
Fax: (912) 358-0008

The NPI 1700983723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/20/2012.

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
1	122300000X	Dentist		DN013482	GEORGIA	No
2	122300000X	Dentist		3953	SOUTH CAROLINA	No
3	1223P0300X	Dentist	Periodontics	0646	SOUTH CAROLINA	No
4	1223P0300X	Dentist	Periodontics	DN013482	GEORGIA	Yes

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

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