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Dr. Walter Joseph Kucaba, DDS,MS
Periodontist in Spartanburg, South Carolina
NPI 1124083043

Walter Joseph Kucaba is a Periodontist based in Spartanburg, SC and is specialized in Periodontics. Walter Joseph Kucaba practices in Spartanburg, SC and has the professional credentials of DDS,MS. The NPI Number for Walter Joseph Kucaba is 1124083043 and holds a License No. 0218 PERIO (South Carolina).

The current practice location address for Walter Joseph Kucaba is 151 Dillon Dr, Spartanburg, SC and can be reached out via phone at 864-585-0468 and via fax at 864-585-0469.

Location: 151 Dillon Dr, Spartanburg, SC, 29307-1017
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Provider Profile Details
NPI Number
1124083043
Provider Name
Walter Joseph Kucaba
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
151 Dillon Dr, Spartanburg, SC, 29307-1017
Phone Number
864-585-0468
Fax Number
864-585-0469
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0218 PERIO 01 SC SPECIALITY LICENSE
institution
Provider Business Practice Location Address Details
Address
151 Dillon Dr
City
State
Zip
29307-1017
Phone Number
864-585-0468
Fax Number
864-585-0469
person
Provider Business Mailing Address Details
Address
151 Dillon Dr
City
State
Zip
29307-1017
Phone Number
864-585-0468
Fax Number
864-585-0469
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
0218 PERIO (South Carolina)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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