DR. DOUGLAS GLEN WALESHECK D.D.S. - NPI 1043295132

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Douglas Glen Walesheck D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS GLEN WALESHECK D.D.S. (NPI 1043295132) is an individual general practice provider in Saint Paul, Minnesota, licensed in Minnesota (D7367) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1043295132

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DOUGLAS GLEN WALESHECKCredential: D.D.S.

Location Address1346 PAYNE AVESaint Paul, MN 55101-3434

Mailing Address1346 Payne AveSaint Paul, MN 55101-3434 · (651) 774-6085 · Fax (651) 774-2660

Phone(651) 774-6085

Fax(651) 774-2660

Sole ProprietorNo

Enumeration DateDecember 12, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1043295132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D7367

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1346 PAYNE AVE, Saint Paul, MN 55101

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Frequently Asked Questions

What is Douglas Walesheck's NPI number?

The NPI number assigned to this healthcare provider is 1043295132, enumerated as an "individual" on December 12, 2005.

Where is the provider located?

The provider is located at 1346 PAYNE AVE SAINT PAUL, MN 55101 and the phone number is (651) 774-6085.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.