National Provider Identifier

Walter James Deck, DMD

Walter James Deck, DMD is listed in the NPPES registry with a primary specialty of Dentist in Farmington, NY and a listed phone number of (585) 398-3810.

NPI 1982611661Farmington, NYDentist

Profile Overview

NPI
1982611661
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
August 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 1625 State Route 332
  • Suite 1-A
  • Farmington, NY 14425-9601

Phone: (585) 398-3810

Specialties

  • Dentist (122300000X)
Full Record
NPI
1982611661
Entity Type
Individual
Last Name
Deck
First Name
Walter
Middle Name
James
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
1625 State Route 332
Mailing Address Line 2
Suite 1-A
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-9601
Mailing Country
US
Mailing Phone
(585) 398-3810
Mailing Fax
(585) 398-2413
Practice Street Address
1625 State Route 332
Practice Address Line 2
Suite 1-A
Practice City
Farmington
Practice State
NY
Practice ZIP Code
14425-9601
Practice Country
US
Practice Phone
(585) 398-3810
Practice Fax
(585) 398-2413
Enumeration Date
August 02, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)