Walter Lawrence Blumenfeld in Wichita Falls - Periodontics

Walter Lawrence Blumenfeld - NPI 1306041140

Walter Lawrence Blumenfeld is a Periodontics in Wichita Falls, Texas. Walter Lawrence Blumenfeld practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Walter Lawrence Blumenfeld is 1306041140. The last update date is 2007-07-08.

Walter Lawrence Blumenfeld's current location address is 1804 Brook Avenue, Wichita Falls, Texas. You can contact this provider via phone number 9403222252 and fax number 9403227090. The mailing address for Walter Lawrence Blumenfeld is 1804 Brook Avenue, Wichita Falls, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter Lawrence Blumenfeld
Address 1804 Brook Avenue, Wichita Falls, Texas
Phone Number 9403222252
Fax Number 9403227090
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1306041140
Provider Enumeration Date 2007-06-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1804 Brook Avenue
City Wichita Falls
State Texas (TX)
Post Code 76301
Phone Number 9403222252
Fax Number 9403227090

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No P10798
Definition:
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 structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P10798 TX LICENSE NUMBER

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FAQs about Walter Lawrence Blumenfeld

What is the unique provider identifier assigned to Walter Lawrence Blumenfeld?

The Walter Lawrence Blumenfeld has been issued the NPI (National Provider Identifier) 1306041140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Walter Lawrence Blumenfeld's facilities are situated?

The facilities of Walter Lawrence Blumenfeld are physically located at the following address: 1804 Brook Avenue, Wichita Falls, TX, 76301.

What is Walter Lawrence Blumenfeld's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Walter Lawrence Blumenfeld's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306041140 to Walter Lawrence Blumenfeld?

The Walter Lawrence Blumenfeld received its 1306041140 assignment from the Centers for Medicare & Medicaid Services on 2007-06-20.

When was the Walter Lawrence Blumenfeld's information last updated?

The Walter Lawrence Blumenfeld's information was last updated on 2007-07-08.

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