MEDICARE: WALSH DENTAL ASSOCIATES

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	1223G0001X	General Practice Dentistry	3739	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922324847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALSH DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	219B N MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-8363
Country	:	US
Telephone Number	:	864-852-2571
Fax Number	:	864-852-2674

Provider Business Practice Location Address
First Line	:	219B N MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-8363
Country	:	US
Telephone Number	:	864-852-2571
Fax Number	:	864-852-2674

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. GARY WARREN WALSH JR.
Credential	:	D.M.D.
Telephone Number	:	864-852-2571

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	04/16/2010

Similar Medicare Providers

1255324190 — LISA D JENNINGS MD
Practice Location Address:

219A N MINE ST
MC CORMICK, SC
29835-8363

Practice Phone: 864-852-3336
Practice Fax: 864-852-3339

1427080902 — DR. ASHLEY C WIGGINS M.D.
Practice Location Address:

219A N MINE ST
MC CORMICK, SC
29835-8363

Practice Phone: 864-852-3336
Practice Fax: 864-852-3339

1194855346 — GENE E FLOYD JR. MD
Practice Location Address:

219 N MINE ST
MC CORMICK, SC
29835-8363

Practice Phone: 864-852-3336
Practice Fax: 864-852-3339

1992798250 — MCCORMICK COUNTY EMS
Practice Location Address:

608 S MINE ST
MC CORMICK, SC
29835-8000

Practice Phone: 864-852-2811
Practice Fax: 864-852-3435

1740255827 — MR. MONTY KITCHENS PA-C
Practice Location Address:

219 N MINE ST , SUITE A
MC CORMICK, SC
29835-9769

Practice Phone: 864-852-3336
Practice Fax: 864-852-3339

1487620951 — GREGORY T LANG M.D.
Practice Location Address:

207 HOLIDAY RD
MC CORMICK, SC
29835-3430

Practice Phone: 864-391-5011
Practice Fax: 864-391-5012

Directions to “WALSH DENTAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.