Individual provider · Type 1 NPI

John Douglas Walters, DDS

Periodontics · Columbus, OH

NPI number 1194809897 Active

Practice location

305 W 12th Ave, Dental Faculty Practice Association Inc
Columbus, OH 43210-1267

Mailing address

305 W 12th Ave Rm 4113, Ohio State University College Of Dentistry
Columbus, OH 43210-1267

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X30-017764 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1194809897

John Douglas Walters, DDS's National Provider Identifier is 1194809897, issued on Oct 25, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Columbus, OH. The record was last updated on Jul 8, 2007.