Active NPIIndividual providerSole proprietor

Dr. Martin L Waltz, DMD

Dentist, General Practice in East Orange, New Jersey

NPI Number1215070727
Practice location
15-33 Halsted Street, Suite 200, East Orange, NJ 07018
Fax
973-674-7351
Last updated
July 8, 2007

Martin Luther Waltz is a Dentist, General Practice based in East Orange, NJ. Martin Luther Waltz practices in East Orange, NJ and has the professional credentials of DMD. The NPI Number for Martin Luther Waltz is 1215070727 and holds a License No. 22D101192300 (NJ). The current practice location address for Martin Luther Waltz is 15-33 Halsted Street, Suite 200, East Orange, NJ 07018 and can be reached out via phone at 973-674-4919 and via fax at 973-674-7351.

Provider Profile Details

NPI Number
1215070727
Provider Name
Martin Luther Waltz
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15-33 Halsted Street, Suite 200, East Orange, NJ 07018
Phone Number
973-674-4919
Fax Number
973-674-7351
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-33 Halsted Street
Suite 200
East Orange, NJ 07018
Zip
07018
Phone Number
973-674-4919
Fax Number
973-674-7351
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
15-33 Halsted Street
Suite 200
East Orange, NJ 07018
City
East Orange
State
NJ
Zip
07018
Phone Number
973-674-4919
Fax Number
973-674-7351

License Information

License Number
22D101192300
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Martin L Waltz, DMD?

The NPI number of Dr. Martin L Waltz, DMD is 1215070727. It was assigned on February 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Martin L Waltz, DMD?

Dr. Martin L Waltz, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D101192300.

Where does Dr. Martin L Waltz, DMD practice?

The practice location is 15-33 Halsted Street, Suite 200, East Orange, NJ 07018. The office can be reached at 973-674-4919 (phone) or 973-674-7351 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215070727 directly on the NPPES registry website.

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