MEDICARE: DR. WALTER R BELOW DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	17038	OH

General Provider Information

NPI Number	:	1679605083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER R BELOW DMD

Provider Business Mailing Address
First Line	:	30400 DETROIT RD STE 308
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-1855
Country	:	US
Telephone Number	:	440-871-1155
Fax Number	:	440-871-7334

Provider Business Practice Location Address
First Line	:	30400 DETROIT RD STE 308
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-1855
Country	:	US
Telephone Number	:	440-871-1155
Fax Number	:	440-871-7334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	06/10/2025

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