Bruce L. Walters, DDS

General Practice Dentistry · Appleton, WI

Individual Active NPI

NPI number 1295854768

Practice location

5740 W Grande Market Dr
Appleton, WI 54913-8406
Phone
(920) 735-9950
Fax
(920) 735-9953

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NPI record

NPI
1295854768
Entity type
Individual (Type 1)
Enumeration date
March 28, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4776 WI

About Dr. Walters

Bruce L. Walters, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5740 W Grande Market Dr, Appleton, WI 54913-8406. The NPI number 1295854768 was assigned on March 28, 2007 and the record was last updated on July 8, 2007.

Dr. Walters lists a license in the registry: #4776 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bruce L. Walters, DDS?

The NPI number is 1295854768.

What is the phone number of Dr. Walters?

The phone number listed for the practice location is (920) 735-9950.

Where is Dr. Walters located?

5740 W Grande Market Dr, Appleton, WI 54913-8406.

What is the taxonomy code for Dr. Walters?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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