Walton, Martin Luther

Walton, Martin Luther is an individual health care provider with primary practice located at 521 N 11Th St Ped. Dent. Vcu School Of Dentistry, Richmond VA 23298-5045. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Walton, Martin Luther can be contacted via phone (804) 828-0791.

Contact Information

Primary practice address
521 N 11Th St Ped. Dent. Vcu School Of Dentistry Richmond VA 23298-5045
Phone: (804) 828-0791
Fax: (804) 827-0163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401008399 Virginia

Profile Details

NPI number 1407844509
LBN Legal business name Walton, Martin Luther
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407844509 NPPES
Virginia Other 0007101 DORAL
Virginia MEDICAID 78-0361-3 DORAL

Popular Providers