Individual provider · Type 1 NPI

Walter Charles Kirk JR, DMD

Periodontics · Fuquay Varina, NC

NPI number 1457403156 Active

Practice location

1213 N Main St
Fuquay Varina, NC 27526-2616

Call (919) 552-9711 Map

Mailing address

105 Breezewood Dr
Goldsboro, NC 27534-8901

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X6745 (NC)

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 1457403156

Walter Charles Kirk JR, DMD's National Provider Identifier is 1457403156, issued on Jan 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fuquay Varina, NC. The record was last updated on Jul 8, 2007.