Stephen Phillip Walters in Butte - Periodontics
Stephen Phillip Walters - NPI 1457476194
Stephen Phillip Walters is a Periodontics in Butte, Montana. Stephen Phillip Walters practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stephen Phillip Walters is 1457476194. The last update date is 2019-01-17.
Stephen Phillip Walters's current location address is 25 Discovery Dr, Butte, Montana. You can contact this provider via phone number 4067827200 and fax number 4067827201. The mailing address for Stephen Phillip Walters is 25 Discovery Dr, Butte, Montana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephen Phillip Walters |
---|---|
Address | 25 Discovery Dr, Butte, Montana |
Phone Number | 4067827200 |
Fax Number | 4067827201 |
Sole Proprietor | Y |
Credentials | DMD MS |
NPI Number Detail
NPI Number | 1457476194 |
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Provider Enumeration Date | 2007-03-20 |
Last Updated Date | 2019-01-17 |
Provider Mailing Address Detail
Address | 25 Discovery Dr |
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City | Butte |
State | Montana (MT) |
Post Code | 59701 |
Phone Number | 4067827200 |
Fax Number | 4067827201 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 2101 |
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 |
---|---|---|---|
4571500 | MT | DENTIST |
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What is the unique identification code assigned to Stephen Phillip Walters by the Centers for Medicare & Medicaid Services?
The Stephen Phillip Walters has been issued the NPI (National Provider Identifier) 1457476194. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen Phillip Walters located?
The Stephen Phillip Walters is located at 25 Discovery Dr, Butte, MT 59701.
What is the area of specialization for Stephen Phillip Walters, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen Phillip Walters is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
When did Stephen Phillip Walters receive its 1457476194 assignment?
The Stephen Phillip Walters was assigned its 1457476194 on 2007-03-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Stephen Phillip Walters last refreshed?
The information related to the Stephen Phillip Walters, including its address, specialty, and other relevant details, was last updated on 2019-01-17.
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