Individual
DR. DAVID P WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 385-5473
Mailing address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 753-1039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12006998
IN
1223G0001X
General Practice Dentistry
Primary
12006998B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122070
—
IN
Enumeration date
09/20/2006
Last updated
02/12/2025
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