James Stephen Walko, DMD

Individual provider Active NPI General Practice Dentistry · Ambridge, PA

NPI 1649430786 · NPPES record last updated Jun 12, 2008

Key facts

NPI
1649430786
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS028990L (PA)
Practice address
660 Merchant St
Ambridge, PA 15003-2465
Phone
(724) 266-9047
Fax
(724) 251-0651
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS028990LPAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028990L PA Yes

Addresses

Primary practice location

660 Merchant St
Ambridge, PA 15003-2465

Mailing address

660 Merchant Street
Ambridge, PA 15003-2465
Phone (724) 266-9047

Other providers in Ambridge, PA

All providers in Ambridge, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.