Seth Walden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122432 Issued in GA

Practice address

2979 N Lake Pkwy Ste 100
Columbus, GA 31909-2575

Phone

(706) 257-7374

NPI assigned

Aug 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ideal Smile Dentistry LLC

  • Dentist
  • Columbus, GA
  • NPI 1750073615
  NPD Authorized official

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1730634338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 N LAKE PKWY STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092575",
            "telephone_number": "706-257-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 N LAKE PKWY STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092575",
            "telephone_number": "706-257-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "SETH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-1311)
• Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-4283)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-1338)
• Wal-Mart Stores East, LP (Vision Center 30-4200)
• Monica L. Walden
• John I. Waldrop, M.D.
• Walgreen Co (Walgreens #06328)
• Walgreen Co (Rite Aid #11861)
• Walgreen Co (Walgreens #06373)
• Walgreen Co (Rite Aid #11862)

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.