Phillip G Walton DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHILLIP G WALTON DDS PC

Practice address

3995 Covington Hwy
Decatur, GA 30032-2645

Phone

(404) 284-6911

Fax

(404) 288-4165

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie Terrell Conley

Title

Offic Manager

Phone

(404) 284-6911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Gene Walton

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1730125568
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780744748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322645",
            "telephone_number": "404-284-6911",
            "fax_number": "404-288-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322645",
            "telephone_number": "404-284-6911",
            "fax_number": "404-288-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP G WALTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OFFIC MANAGER",
        "authorized_official_telephone_number": "404-284-6911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Lan-Nhu Pham, MD
• Quan Pham
• Pharmacy Staffing Network, Inc
• Paul Galey Phelps, M.D.
• Wildna Philippe, PA-C
• Albert Leon Phillips Jr.
• Cody Wayne Phillips, PA-C
• Laurence Wilson Phillips
• Ruth Philogene, RN
• Phoenix Anesthesia, LLC

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, 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 Aug 22, 2020; 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.