Waltz Center for Oral Surgery & Implantology, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS023711L Issued in PA

Legal business name

WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY, PC

Practice address

16327 Mount Airy Rd
Shrewsbury, PA 17361-1624

Phone

(717) 227-9959

Fax

(717) 227-1262

NPI assigned

Jul 14, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ribert Lewis Waltz Jr., DMD

Title

Owner/Surgeon

Phone

(717) 227-9959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1972987550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16327 MOUNT AIRY RD",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611624",
            "telephone_number": "717-227-9959",
            "fax_number": "717-227-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16327 MOUNT AIRY RD",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611624",
            "telephone_number": "717-227-9959",
            "fax_number": "717-227-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "RIBERT",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "717-227-9959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS023711L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Shrewsbury, PA
• Providers in Shrewsbury, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.