WALLS FAMILY DENTISTRY INC NPI 1679740898

NPI Information

NPI: 1679740898
Provider Name: WALLS FAMILY DENTISTRY, INC

Other Name: MATTHEW WALLS, DDS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12627 S HIGHWAY 51
COWETA, OK
ZIP 74429
Phone: (918) 486-0039
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WALLS FAMILY DENTISTRY, INC is a dental clinic center in Coweta, OK. WALLS FAMILY DENTISTRY, INC NPI is 1679740898. The provider is registered as an organization entity type.
The provider Other Name Is Matthew Walls, Dds.

The provider's business location address is:

12627 S HIGHWAY 51
COWETA, OK
ZIP 74429-476
Phone: (918) 486-0039
Fax: (918) 486-0097

The provider's authorized official is Matthew Walls .
The authorized official title is President/dentist and has the following contact phone number (918) 486-0039.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 3/30/2009.

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
1	261QD0000X	Clinic/Center	Dental	OK5393	OKLAHOMA	Yes

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: 5/5/2024

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