DR. CARL PAUL WALTKE D.M.D. NPI 1871671016

NPI Information

  • NPI: 1871671016
  • Provider Name: DR. CARL PAUL WALTKE, D.M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 180 OLD TAPPAN RD
    OLD TAPPAN, NJ
    ZIP 07675
  • Phone: (201) 767-4001

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NPI Details

DR. Carl Paul Waltke, D.M.D. is an oral and maxillofacial surgery dentist in Old Tappan, NJ. 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. DR. Carl Paul Waltke, D.M.D. NPI is 1871671016. 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:

180 OLD TAPPAN RD
OLD TAPPAN, NJ
ZIP 07675-052
Phone: (201) 767-4001
Fax: (201) 767-4632

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

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
11223S0112XDentistOral and Maxillofacial Surgery16438NEW JERSEYYes

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
1WA610091MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2200025OTHERNEW JERSEYAETNA US HEALTH CARE
3U39394MEDICARE UPINNEW JERSEY

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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