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Dr. Carl Paul Waltke, DMD
Oral and Maxillofacial Surgery (Dentist) in Old Tappan, New Jersey
NPI 1871671016

Carl Paul Waltke is a Oral and Maxillofacial Surgery (Dentist) based in Old Tappan, NJ and is specialized in Oral and Maxillofacial Surgery. Carl Paul Waltke practices in Old Tappan, NJ and has the professional credentials of DMD. The NPI Number for Carl Paul Waltke is 1871671016 and holds a License No. 16438 (New Jersey).

The current practice location address for Carl Paul Waltke is 180 Old Tappan Rd, Old Tappan, NJ and can be reached out via phone at 201-767-4001 and via fax at 201-767-4632.

Location: 180 Old Tappan Rd, Old Tappan, NJ, 07675-7052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871671016
Provider Name
Carl Paul Waltke
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
180 Old Tappan Rd, Old Tappan, NJ, 07675-7052
Phone Number
201-767-4001
Fax Number
201-767-4632
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200025 01 NJ AETNA US HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
180 Old Tappan Rd
City
Old Tappan
State
New Jersey
Zip
07675-7052
Phone Number
201-767-4001
Fax Number
201-767-4632
person
Provider Business Mailing Address Details
Address
180 Old Tappan Rd
City
Old Tappan
State
New Jersey
Zip
07675-7052
Phone Number
201-767-4001
Fax Number
201-767-4632
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
16438 (New Jersey)
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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