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Russell Walther, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Tallahassee, Florida
NPI 1073837746

Russell Walther is a Oral and Maxillofacial Surgery (Dentist) based in Tallahassee, FL and is specialized in Oral and Maxillofacial Surgery. Russell Walther practices in Tallahassee, FL and has the professional credentials of DDS,MD. The NPI Number for Russell Walther is 1073837746 and holds a License No. DN 21651 (Florida).

The current practice location address for Russell Walther is 2648 Centennial Pl, Tallahassee, FL and can be reached out via phone at 850-523-3000 and via fax at 850-523-0831.

Location: 2648 Centennial Pl, Tallahassee, FL, 32308-0572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073837746
Provider Name
Russell Walther
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
2648 Centennial Pl, Tallahassee, FL, 32308-0572
Phone Number
850-523-3000
Fax Number
850-523-0831
Provider Enumeration Date
03/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2648 Centennial Pl
City
Tallahassee
State
Florida
Zip
32308-0572
Phone Number
850-523-3000
Fax Number
850-523-0831
person
Provider Business Mailing Address Details
Address
2648 Centennial Pl
City
Tallahassee
State
Florida
Zip
32308-0572
Phone Number
850-523-3000
Fax Number
850-523-0831
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN 21651 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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