Individual provider · Type 1 NPI

Walter Reed Dickinson, DMD

Periodontics · Santa Rosa, CA

NPI number 1689892572 Active

Practice location

1416 Townview Ln
Santa Rosa, CA 95405

Call (707) 578-3010 Map

Fax (707) 578-0343

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X30926 (CA)

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 1689892572

Walter Reed Dickinson, DMD's National Provider Identifier is 1689892572, issued on Apr 23, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.