Walter Clark Julian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011472 Issued in AZ

Practice address

2540 S San Tan Village Pkwy Ste 104
Gilbert, AZ 85295-0301

Phone

(480) 892-5089

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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.

• Julian Dentistry PLLC

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1679342653
  NPD Authorized official
• Arizona Smiile Center PLLC

  • Dentist
  • Gilbert, AZ
  • NPI 1982215182
  NPD
• Emergent Dental Services, LLC

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1649972688
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1780316745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 S SAN TAN VILLAGE PKWY STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950301",
            "telephone_number": "480-892-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 S SAN TAN VILLAGE PKWY STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950301",
            "telephone_number": "480-892-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "WALTER",
        "middle_name": "CLARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JTCH LLC
• Jubilee Services
• Holly Kristine Judge, MS LPC
• Lailani Jui, SLPA
• Chantel Juitt
• Jumana Ghorab, DDS, PC
• Jumpstart Pediatrics LLC
• Junebug Kidz Az, L.L.C.
• Kristen Joyce Jung, M.S., CCC-SLP
• Kayla Junior

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.