M Walker DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

M WALKER DDS PA

Doing business as

Dental Health Services

Practice address

4620 N Habana Ave
Suite 201
Tampa, FL 33614-7107

Phone

(813) 877-7353

Fax

(813) 875-6840

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia M Hambaugh

Title

General Manager

Phone

(813) 926-5700

Specialties & licenses 1

Addresses

Other names 1

• Dental Health Services Doing business as

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1982786208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N HABANA AVE",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147107",
            "telephone_number": "813-877-7353",
            "fax_number": "813-875-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N HABANA AVE",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147107",
            "telephone_number": "813-877-7353",
            "fax_number": "813-875-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M WALKER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "HAMBAUGH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "813-926-5700",
        "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": [
        {
            "organization_name": "Dental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• M&R Therapy Center Inc

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.