Walter B. Futch, Jr. DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

0811 Issued in NC

Legal business name

WALTER B. FUTCH, JR. DDS PA

Practice address

1006 Northgate Drive
Leland, NC 28451

Phone

(910) 371-9444

Fax

(910) 371-9474

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Walter B. Futch Jr., DDS

Title

President

Phone

(910) 371-9444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1306010780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "address_2": "1006 NORTHGATE DRIVE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510557",
            "telephone_number": "910-371-9444",
            "fax_number": "910-371-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NORTHGATE DRIVE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-371-9444",
            "fax_number": "910-371-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER B. FUTCH, JR. DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "FUTCH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-371-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "0811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.