WALTER KELLEY FARRIS DMD NPI 1780235655

NPI Information

  • NPI: 1780235655
  • Provider Name: WALTER KELLEY FARRIS, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1515 N HARLEM AVE STE 200
    OAK PARK, IL
    ZIP 60302
  • Phone: (708) 848-2853

Map and Directions

Get Directions

NPI Details

Walter Kelley Farris, DMD is a general practice dentist in Oak Park, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Walter Kelley Farris, DMD NPI is 1780235655. 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:

1515 N HARLEM AVE STE 200
OAK PARK, IL
ZIP 60302-277
Phone: (708) 848-2853

The enumeration date for this NPI number is 9/23/2019 and was last updated on 9/23/2019.

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
11223G0001XDentistGeneral Practice019.032072ILLINOISYes

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: 3/30/2025

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.