Tracy E Walters is a Dentist in Sebring, Florida. Tracy E Walters practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tracy E Walters is 1104915040. The last update date is 2016-10-04.
Tracy E Walters's current location address is 4850 Sun N Lake Blvd, Sebring, Florida. You can contact this provider via phone number 8636583276 and fax number 8636583290. The mailing address for Tracy E Walters is 4850 Sun N Lake Blvd, Sebring, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy E Walters |
|---|---|
| Address | 4850 Sun N Lake Blvd, Sebring, Florida |
| Phone Number | 8636583276 |
| Fax Number | 8636583290 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104915040 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2016-10-04 |
Provider Mailing Address Detail
| Address | 4850 Sun N Lake Blvd |
|---|---|
| City | Sebring |
| State | Florida (FL) |
| Post Code | 338722110 |
| Phone Number | 8636583276 |
| Fax Number | 8636583290 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401411606 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104915040 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy E Walters by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy E Walters has been assigned the NPI (National Provider Identifier) 1104915040. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tracy E Walters is geographically located?
The Tracy E Walters is physically situated at the following location: 4850 Sun N Lake Blvd, Sebring, FL, 338722110.
What is the Tracy E Walters's area of specialization and corresponding taxonomy classification?
The Tracy E Walters's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1104915040 assigned to Tracy E Walters?
The Tracy E Walters was issued its 1104915040 on 2006-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Tracy E Walters, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy E Walters, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-10-04.