Individual provider Active NPI

Robert Marshall Walter, DDS

  • Dentist
  • Tecumseh, OK
National Provider Identifier
1306375704
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6949 Issued in OK
Practice address
712 N Broadway St
Tecumseh, OK 74873-1414
Phone
(405) 598-9398
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6949 OK Primary

Addresses

Primary practice location

712 N Broadway St
Tecumseh, OK 74873-1414

Mailing address

3200 S Mustang Rd Ste 100
Yukon, OK 73099-6196
Phone (405) 805-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6949OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Walter, DDS, PLLC Dentist CurrentSince Nov 24, 2025 Accepting new patients
Tecumseh Family Dentistry PLLC CurrentSince Oct 20, 2024 Accepting new patients
Robert M Walter, DDS, PLLC CurrentSince Sep 14, 2025 Accepting new patients
Clear Creek Dental Dentist PastSince Oct 1, 2021 Accepting new patients

Locations

712 N Broadway St
Tecumseh, OK 74873
Phone (405) 598-9398

3200 S Mustang Rd
Ste 100
Yukon, OK 73099
Phone (405) 355-2797

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1306375704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S MUSTANG RD STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996196",
            "telephone_number": "405-805-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N BROADWAY ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748731414",
            "telephone_number": "405-598-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ROBERT",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.