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DR. ROSALIE A WALO DDS
NPI 1164476172
Dentist - General Practice in Jacksonville, FL

Active since May 22, 2006
5150 TIMUQUANA RD., SUITE 9, JACKSONVILLE, FL 32210(904) 253-1680(904) 253-2509 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rosalie A Walo Dds NPPES

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

DR. ROSALIE A WALO DDS (NPI 1164476172) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN12981) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1164476172
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROSALIE A WALOCredential: DDS
Location Address5150 TIMUQUANA RD., SUITE 9Jacksonville, FL 32210-8925
Mailing Address900 University Blvd N, Mc - 75Jacksonville, FL 32211-9230 · (904) 253-2062 · Fax (904) 253-1942
Phone(904) 253-1680
Fax(904) 253-2509
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateFebruary 26, 2013
✔ NPI 1164476172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN12981
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.
5150 TIMUQUANA RD., Jacksonville, FL 32210
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Other Identifiers 2

Medicaid075227400FL
Medicaid0752274-00FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAVETTA A MCCOY RD, LD/N
Dietitian, Registered
5150 TIMUQUANA RD.
JACKSONVILLE, FL 32210
Duval County (904) 253-1510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosalie Walo's NPI number?

The NPI number for Rosalie Walo is 1164476172. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Rosalie Walo located?

Rosalie Walo practices at 5150 Timuquana Rd. Suite 9, Jacksonville, FL 32210. The listed phone number is (904) 253-1680.

What is Rosalie Walo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Rosalie Walo was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.