| Matthew R Walton DDS, LLC | |
|
488 S State Road 135 Greenwood IN 46142-1424 | |
| (317) 885-7006 | |
| (317) 885-7099 |
| Full Name | Matthew R Walton DDS, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 488 S State Road 135, Greenwood, Indiana |
| Authorized Official Name and Position | Matthew Walton (OWNER) |
| Authorized Official Contact | 3178857006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew R Walton DDS, LLC 488 S State Road 135 Greenwood IN 46142-1424 Ph: (317) 885-7006 | Matthew R Walton DDS, LLC 488 S State Road 135 Greenwood IN 46142-1424 Ph: (317) 885-7006 |
| NPI Number | 1962122093 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962122093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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