DR. MARTIN LUTHER WALTON III (NPI# 1407844509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407844509 |
| Entity Type | Individual |
| Full Name | DR. MARTIN LUTHER WALTON III |
| Credential | D.D.S. |
| Practice Address |
521 N 11th St Ped. Dent. Vcu School of Dentistry Richmond VA 23298-5045 |
| Mailing Address |
Po Box 980566 Ped. Dent. Vcu School of Dentistry Richmond VA 23298-0566 |
| Practice Telephone | 8048280791 |
| Practice Fax Number | 8048270163 |
| Mailing Telephone | 8048280791 |
| Mailing Fax Number | 8048270163 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401008399 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 78-0361-3 | 05 | |
| VA | DORAL | 0007101 | 01 |
| Street Address |
521 N 11TH ST PED. DENT. VCU SCHOOL OF DENTISTRY |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818622 | William Walter Porzio | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2020-07-08 |
| 1386267185 | Erin Pilling | Student in an Organized Health Care Education/Training Program | 521 N 11th St, Richmond, VA 23298-5045 | 2020-05-27 |
| 1609430560 | Sarang Saadat | Dentist | 521 N 11th St, Richmond, VA 23298-0566 | 2019-04-26 |
| 1417442963 | Nicholas George Yesbeck | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2018-06-27 |
| 1841713435 | Cole Anthony Staines | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2017-07-25 |
| 1962930974 | Meng Huan Lee | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2017-06-03 |
| 1508211715 | Justin Josell | Student in an Organized Health Care Education/Training Program | 521 N 11th St, Richmond, VA 23298-5016 | 2016-04-26 |
| 1245614734 | Charles Stoianovici | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2015-07-14 |
| 1649678970 | Jenna Marcinczyk | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2014-12-18 |
| 1144627571 | Jessica Vellucci | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115275 | H&a Orthodontics | Dentist | 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 | 2019-07-12 |
| 1528627916 | Petite Smiles Pediatric Dentistry, Pllc | Dentist | 11131 Harlem Rd, Suite 120, Richmond, TX 77406 | 2019-06-10 |
| 1144627555 | David W Merrell Dds Msd Plc | Dentist | 12205 Gayton Road, Suite A, Richmond, VA 23238-3212 | 2014-12-01 |
| 1356559777 | Jeffrey Lucas Bowen | Dentist | 120 Meridian Way, Suite 2, Richmond, KY 40475 | 2007-05-18 |
| 1396890927 | Rhonda H. Cormney | Dentist | 519 Hampton Way Ste 1, Richmond, KY 40475-8885 | 2007-01-24 |
| 1548334071 | William O Dahlke Jr. | Dentist | 521 N 11th St Ste 305, Richmond, VA 23298 | 2006-11-17 |
| 1619054939 | James M Keeton Jr. | Dentist | 7410 Hull Street Rd, Richmond, VA 23235-5834 | 2006-11-01 |
| 1295825123 | Jack J. Reynolds Jr. | Dentist | 1002 Oak Dr, Richmond, IN 47374-1916 | 2006-10-13 |
| 1861597718 | Hayden R. Phillips | Dentist | 1012 Ival James Blvd, C, Richmond, KY 40475-8174 | 2006-09-14 |
| 1093819013 | Jeffrey Patrick Blair | Dentist | 12205 Gayton Rd, Richmond, VA 23238-3219 | 2006-09-11 |
| Find all providers in RICHMOND | ||||
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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.