Individual provider · Type 1 NPI
Carl Paul Waltke, DMD
Oral and Maxillofacial Surgery (Dentist) · Old Tappan, NJ
NPI number
1871671016
Active
Practice location
180 Old Tappan Rd
Old Tappan, NJ 07675-7052
Fax (201) 767-4632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 16438 (NJ) |
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.
5 other providers at this address
- 201 Oral SurgeryOral and Maxillofacial Surgery (Dentist) Old Tappan, NJ NPI 1073896809
- David Jenkins, P.a.Orthodontics and Dentofacial Orthopedics Dentistry Old Tappan, NJ NPI 1023161007
- Kelli Brady DDS LLCDentist Old Tappan, NJ NPI 1548507643
- David Jenkins, DMD, M.S.D.Orthodontics and Dentofacial Orthopedics Dentistry Old Tappan, NJ NPI 1114070190
- Krista S. Fisher, DMDGeneral Practice Dentistry Old Tappan, NJ NPI 1861520843
About NPI 1871671016
Carl Paul Waltke, DMD's National Provider Identifier is 1871671016, issued on Nov 2, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Old Tappan, NJ. The record was last updated on Jul 8, 2007.