Individual provider · Type 1 NPI

Nathan Frederick Walters, DMD

Oral and Maxillofacial Surgery (Dentist) · Louisville, KY

NPI number 1265424907 Active

Practice location

2800 Cannons Ln Ste 200
Louisville, KY 40205-2164

Fax (502) 452-1926

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X8066 (KY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X8066 (KY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1265424907

Nathan Frederick Walters, DMD's National Provider Identifier is 1265424907, issued on Aug 18, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Louisville, KY. The record was last updated on Nov 12, 2018.