Healthcare Provider Details

I. General information

NPI: 1174353494
Provider Name (Legal Business Name): FRANCIS HANCKEL WALPOLE JR. DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MCRD PARRIS ISLAND DENTAL BLDG 674 BLVD DE FRANCE
PARRIS ISLAND SC
29905
US

IV. Provider business mailing address

MCRD PARRIS ISLAND DENTAL BLDG 674 BLVD DE FRANCE
PARRIS ISLAND SC
29905
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10805
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: