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1417818725 NPI number — ROBERT M WALTER, DDS, PLLC

NPI Number: 1417818725
Health Care Provider/Practitioner: ROBERT M WALTER, DDS, PLLC

Information about “1417818725” NPI (ROBERT M WALTER, DDS, PLLC) exists in 1417818725 in HTML format HTML  |  1417818725 in plain Text format TXT  |  1417818725 in PDF (Portable Document Format) PDF  |  1417818725 in an XML format XML  formats.

NPI Number : 1417818725 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417818725",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROBERT M WALTER, DDS, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3200 S MUSTANG RD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YUKON",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73099-6196",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-355-2797",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3200 S MUSTANG RD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YUKON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73099-6196",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-355-2797",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2025",
    "LastUpdateDate": "11/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WALTER",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "MARSHALL",
    "AuthorizedOfficialTitle": "OWNER/DENTIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "405-368-1708",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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