Walter David Diaz, DDS is a
Dentist - General Practice based in Maben, Mississippi. Walter David Diaz is licensed to practice in Mississippi (license number 1906-80) and his current practice location is
3988 2nd Ave, Maben, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 263-8444.
NPI number for Walter David Diaz is 1326117722 and his current mailing address is Po Box 653, Maben, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326117722.
Healthcare Provider's Profile
| Full Name | Walter David Diaz |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 3988 2nd Ave, Maben, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326117722
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Walter David Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326117722 | NPI | - | NPPES |
| 00064859 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 1906-80 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter David Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Walter David Diaz, DDS
Po Box 653,
Maben, MS 39750-0653
Ph: (662) 263-8444 | Walter David Diaz, DDS
3988 2nd Ave,
Maben, MS 39750-0653
Ph: (662) 263-8444 |
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