Organization
DRS. WALTER & RINGEMAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M WALTER JR. D.D.S., M.S. (PRESIDENT)
(336) 768-9881
Entity
Organization
Contact information
Practice address
3020 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4012
(336) 768-9881
(336) 768-6066
Mailing address
3020 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4012
(336) 768-9881
(336) 768-6066
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4128
NC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
9605
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4128
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921132
—
NC
05
—
8998854
—
NC
Enumeration date
12/16/2013
Last updated
12/16/2013
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