Dr Victor L Walsh DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1619-74 Issued in MS

Legal business name

DR VICTOR L WALSH DMD PA

Practice address

1313 Aston Ave
McComb, MS 39648-2825

Phone

(601) 684-7921

Fax

(601) 684-7950

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Victor L Walsh, D.M.DNPI 1629125836

Title

Owner/Doctor

Phone

(601) 684-7921

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Victor L. Walsh, DMD

  • General Practice Dentistry
  • McComb, MS
  • NPI 1629125836
  NPD (past) Authorized official

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1952608846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482825",
            "telephone_number": "601-684-7921",
            "fax_number": "601-684-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482825",
            "telephone_number": "601-684-7921",
            "fax_number": "601-684-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VICTOR L WALSH DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "601-684-7921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1619-74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00063300",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndi P Dobbs
• Theresa Doggett
• Fredeca Donald
• Malinda F Donald, FNP-C
• Adrienne Douglas, DPT
• Dr. Chuck Barnes, PA
• Melanie M Dribben, MSCCC, SLP
• Drlullaby, LLC
• Ducere Investment Group Inc
• Cynthia C Dukes, PMHNP-BC

• General Practice Dentistry in McComb, MS
• Providers in McComb, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.