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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL WALTHER, DDS, MD

Active

RUSSELL WALTHER, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in TALLAHASSEE, Florida. NPI 1073837746 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · TALLAHASSEE, FL

Registration Details

NPI Number
1073837746
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2010 (16.352975795648 yrs)
Last Updated
Aug 24, 2016
Licenses
DN 21651 (FL)
ME 126426 (FL)

Practice Information

Address
2648 CENTENNIAL PL
TALLAHASSEE, FL, 323080572
Browse FL providers · Browse ZIP 32308
Phone
8505233000
Fax
8505230831
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in TALLAHASSEE, FL

Name Credential NPI
BARRETT ROSS TOLLEY DDS 1356362149
DR. STEVEN CLARK BRYAN D.M.D. 1508906934
DR. LAWRENCE JOSEPH PIJUT DMD 1235382813
RICARDO M ORTIZ DMD 1497984785
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.