CHARLES WALTER (NPI# 1093883779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093883779 |
| Entity Type | Individual |
| Full Name | CHARLES WALTER |
| Credential | DDS |
| Practice Address |
3400 Squalicum Pkwy Suite 102 Bellingham WA 98225-1933 |
| Practice Telephone | 3606768920 |
| Practice Fax Number | 3606765988 |
| Mailing Telephone | 3606768920 |
| Mailing Fax Number | 3606765988 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5632 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5030226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952588790 | Charles Taylor Walter Jr. | Psychiatry & Neurology | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2008-01-23 |
| Street Address |
3400 SQUALICUM PKWY SUITE 102 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194784579 | Robert D. Chester | Dentist | 3400 Squalicum Pkwy, Suite 201, Bellingham, WA 98225-1933 | 2006-03-22 |
| 1649392499 | Michael H Crowley Dds Ps | Dentist | 3400 Squalicum Pkwy, Suite 103, Bellingham, WA 98225-1933 | 2007-04-04 |
| 1063531051 | Derek Richard Damon | Dentist | 3400 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1933 | 2007-03-29 |
| 1114045366 | Derek R Damon Dds Ps | Dentist | 3400 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1933 | 2007-03-27 |
| 1891841193 | Mathew Dorsch | Dentist | 3400 Squalicum Pkwy, Suite 107, Bellingham, WA 98225-1933 | 2007-01-27 |
| 1053326538 | Randle T. Carr, Dds, P.s. | Dentist | 3400 Squalicum Pkwy, Suite 107, Bellingham, WA 98225-1933 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588920920 | Christopher William Kyles | Dentist | 400 E Mcleod Rd, Bellingham, WA 98226-5535 | 2012-04-10 |
| 1831301019 | Phillip Minfu Chen | Dentist | 3400 Squalicum Pkwy Ste 102, Bellingham, WA 98225-1933 | 2007-05-03 |
| 1356552970 | Walter & Chen, Ps | Dentist | 3400 Squalicum Pkwy Ste 102, Bellingham, WA 98225-1933 | 2007-05-25 |
| 1659592103 | Fredrick W Wicknick Dmd Inc Ps | Dentist | 3136 Squalicum Pkwy, Suite #b, Bellingham, WA 98225-1954 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619657 | Washington Jaw and Facial Surgery Pllc | Dentist | 451 Duvall Ave Ne Ste 100, Renton, WA 98059-4675 | 2020-11-02 |
| 1952909145 | Calley Christie Dmd Pllc | Dentist | 275 Sw 160th St Ste 115, Burien, WA 98166-3003 | 2020-10-11 |
| 1679197016 | Tae Youn Dds Md Pllc | Dentist | 15808 Mill Creek Blvd Ste 202, Mill Creek, WA 98012-1500 | 2020-06-02 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1740744374 | Thompson Ferguson Schrack Pllc | Dentist | 7604 Ne 5th Ave Ste 114, Vancouver, WA 98665-8200 | 2019-01-28 |
| 1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
| 1255803904 | Edwards, Johnson, Johnson & Johnson D.d.s., P.l.l.c. | Dentist | 601 S Carr Rd Ste 300, Renton, WA 98055-5840 | 2018-12-19 |
| 1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
| 1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
Please comment or provide details below to improve the information on CHARLES WALTER.
| 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.