DR. JERALD WAYNE WALTON (NPI# 1700996501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700996501 |
| Entity Type | Individual |
| Full Name | DR. JERALD WAYNE WALTON |
| Credential | DDS |
| Practice Address |
117 S Montgomery Gilmer TX 75644 |
| Mailing Address |
Po Box 1008 117 S Montgomery Gilmer TX 75644 |
| Practice Telephone | 9038432170 |
| Practice Fax Number | 9038435044 |
| Mailing Telephone | 9038432170 |
| Mailing Fax Number | 9038435044 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13150 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DELTA DENTAL | 050410 | 01 |
| Street Address |
117 S MONTGOMERY |
| City | GILMER |
| State | TX |
| Zip Code | 75644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124148457 | The Madera Corp | Assisted Living Facility | 1704 North Bradford St, Gilmer, TX 75644 | 2007-03-30 |
| 1225173420 | Eugene Ralston Foster | Family Medicine | 200 N Montgomery, Gilmer, TX 75644 | 2007-02-21 |
| 1245297365 | Nexion Health At Gilmer Inc | Skilled Nursing Facility | 623 Highway 155 North, Gilmer, TX 75644 | 2006-05-01 |
| 1790765188 | Jimmy Michael Taylor | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-01-20 |
| 1255324646 | Robert Arden Redelspergen Jr. | Pharmacist | East Texas Medical Center - Gilmen, Gilmen, TX 75644 | 2005-08-31 |
| 1770588774 | Gilmer Senior Care Lp | Skilled Nursing Facility | 703 N Titus, Gilmer, TX 75644 | 2005-06-16 |
| 1285637843 | David Warren Buller | Emergency Medicine | 602 N Titus, Suite 120, Gilmer, TX 75644 | 2005-05-27 |
| 1447440789 | Eugene R Foster Md Pa | Family Medicine | 200 N Montgomery, Gilmer, TX 75644 | 2007-08-01 |
| 1679662449 | J M Taylor Dds Inc | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-10-12 |
| 1033211396 | Lewis R. King, Md | Family Medicine | 602 N Titus, Gilmer, TX 75644 | 2006-09-05 |
| Find all providers in zip 75644 | ||||
| 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 |
|---|---|---|---|---|
| 1295360972 | Arise Dental Pllc | Dentist | 879 Us Highway 271 N Ste 100, Gilmer, TX 75644-5580 | 2020-03-03 |
| 1376694422 | Wesley A. Bishop | Dentist | 1000 Titus St, Gilmer, TX 75644-3514 | 2007-01-16 |
| 1790765188 | Jimmy Michael Taylor | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-01-20 |
| 1881209112 | Gilmer Dental Pllc | Dentist | 409 W Tyler St, Gilmer, TX 75644-2138 | 2020-09-14 |
| 1417332768 | Joshua K. Furniss, Dds. Pllc | Dentist | 1000 Titus St, Gilmer, TX 75644-3514 | 2015-07-29 |
| 1114289162 | Joshua K Furniss | Dentist | 1000 Titus St, Gilmer, TX 75644-3514 | 2012-06-14 |
| 1679662449 | J M Taylor Dds Inc | Dentist | 409 W Tyler St, Gilmer, TX 75644 | 2006-10-12 |
| 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.