George J Walters DDS PA

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DN0012432 Issued in FL

Legal business name

GEORGE J WALTERS DDS PA

Practice address

2202 State Ave
Suite 200
Panama City, FL 32405-7601

Phone

(850) 763-8585

Fax

(850) 763-3920

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George J Walters, D.D.S.

Title

President

Phone

(850) 763-8585

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194927889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 200",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-763-8585",
            "fax_number": "850-763-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 200",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-763-8585",
            "fax_number": "850-763-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J WALTERS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "FL",
            "license": "DN0012432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• George J Walters DDS PA
• Kimberly Shae George, RN
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• Kervens Germain-Philistin
• Julie Ann German, CRNP

• Oral and Maxillofacial Pathology Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• Oral and Maxillofacial Pathology Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.