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DR. JAY M WALTERS D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1881782670

Individual Registrant:
DR. JAY M WALTERS D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
526 N DALEVILLE AVE  DALEVILLE, AL 36322-2000 US
Tel: 334-598-4994  Fax: --

Contact information for business:
526 N DALEVILLE AVE  DALEVILLE, AL 36322-2000 US
Tel: 334-598-4994  Fax: --

Registration Information:
NPI: 1881782670
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL4553

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
380241AL05
UCCI820510AL01
BCBS515-25448AL01




HEALTH CARE JOBS AL - Page 1



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