Donald Gavin Walley in Germantown - General Practice
Donald Gavin Walley - NPI 1104041763
Donald Gavin Walley is a General Practice in Germantown, Tennessee. Donald Gavin Walley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Donald Gavin Walley is 1104041763. The last update date is 2010-09-30.
Donald Gavin Walley's current location address is 7730 Wolf River Blvd, Germantown, Tennessee. You can contact this provider via phone number 9017556440 and fax number 9017556436. The mailing address for Donald Gavin Walley is 7730 Wolf River Blvd, Germantown, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Gavin Walley |
|---|---|
| Address | 7730 Wolf River Blvd, Germantown, Tennessee |
| Phone Number | 9017556440 |
| Fax Number | 9017556436 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1104041763 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 7730 Wolf River Blvd |
|---|---|
| City | Germantown |
| State | Tennessee (TN) |
| Post Code | 381381708 |
| Phone Number | 9017556440 |
| Fax Number | 9017556436 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS4675 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 621683022 | TN | TAX ID # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Donald Gavin Walley?
The Donald Gavin Walley has been issued the NPI (National Provider Identifier) 1104041763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Donald Gavin Walley?
The Donald Gavin Walley is physically situated at 7730 Wolf River Blvd, in the city of Germantown, state of TN, with the postal code 381381708.
What is Donald Gavin Walley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Donald Gavin Walley is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104041763 to Donald Gavin Walley?
The Donald Gavin Walley received its 1104041763 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date were the details related to Donald Gavin Walley most recently updated or revised?
The information pertaining to Donald Gavin Walley, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-30.
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