DR. WALTER VON CLENDENEN (NPI# 1083859227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083859227 |
| Entity Type | Individual |
| Full Name | DR. WALTER VON CLENDENEN |
| Credential | DDS |
| Practice Address |
302 N. Main Winters TX 79567 |
| Mailing Address |
Box 781 Winters TX 79567 |
| Practice Telephone | 3257544235 |
| Mailing Telephone | 3257544235 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8756 | TX | Dental Providers |
| Street Address |
302 N. MAIN |
| City | WINTERS |
| State | TX |
| Zip Code | 79567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316313885 | Winters Al Operator LLC | Assisted Living Facility | 616 E Truett, Winters, TX 79567 | 2015-08-19 |
| 1154578110 | Lisa Lee Nitsch | Counselor | 126 State, Winters, TX 79567 | 2008-08-21 |
| 1316011844 | Jerry W Biddix | General Practice | 206 E. Dale, Winters, TX 79567 | 2006-11-17 |
| 1891872024 | Mal Enterprises, Inc. Dba Lawrence Bros. Pharm. # 1401 | Pharmacy | 302 S. Main St., Winters, TX 79567 | 2006-11-01 |
| 1255429155 | North Runnels County Hospital | Family Medicine | 7571 East Highway 153, Winters, TX 79567 | 2006-10-10 |
| 1982606489 | Sarah B Carter | Family Medicine | 7771 E Highway 153, Winters, TX 79567 | 2005-08-15 |
| 1902808801 | Judith R Zuspann | Physician Assistant | 7771 E Hwy 153, Winters, TX 79567 | 2005-08-11 |
| 1700888526 | Fitzgerald Metcalfe Thomas | Internal Medicine | 7771 State Hwy 153, Winters, TX 79567 | 2005-08-11 |
| 1396746863 | North Runnels County Hospital | Ambulance | 7821 State Hwy 153, Winters, TX 79567-0185 | 2005-08-09 |
| 1073070405 | Riley Ripley | Physical Medicine & Rehabilitation | 105 Laurel Dr, Winters, TX 79567-3001 | 2019-02-21 |
| Find all providers in zip 79567 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275749137 | Tommy Lynn Russell | Dentist | 100 E Truett St, Winters, TX 79567-4532 | 2007-05-15 |
| 1972614527 | Daniel G Mazza | Dentist | 604 Railroad Ave, Winters, CA 95694-1729 | 2006-08-31 |
| 1821076936 | Ronald Milton Riesner | Dentist | 111 E Grant Ave, Winters, CA 95694-1761 | 2006-01-09 |
| 1629630496 | Adam Patrick Rodriguez | Dentist | 31 Main St, Winters, CA 95694-1722 | 2019-07-02 |
| 1396979597 | Georgina Olazaran Jamison | Dentist | 31 Main St, Winters, CA 95694-1722 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.