# DONALD E. WALTER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447895008
- **Authorized official:** DR. DONALD WALTER DDS (DENTIST)
- **Authorized official phone:** (304) 242-9550

## Contact information

- **Practice address:** 1 PARK VIEW LN, WHEELING, WV 26003-5442
- **Practice address phone:** (304) 242-9550
- **Mailing address:** 1 PARK VIEW LN, WHEELING, WV 26003-5442
- **Mailing address phone:** (304) 242-9550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 11/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1275689572 | — | WV |