WALTER CHARLES KIRK JR DMD
NPI 1457403156
Dentist - Periodontics in Fuquay Varina, NC

Active since January 16, 2007
1213 N MAIN ST, FUQUAY VARINA, NC 27526(919) 552-9711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walter Charles Kirk Jr Dmd NPPES

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

WALTER CHARLES KIRK JR DMD (NPI 1457403156) is an individual periodontics provider in Fuquay Varina, North Carolina, licensed in North Carolina (6745) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1457403156
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameWALTER CHARLES KIRK JRCredential: DMD
Location Address1213 N MAIN STFuquay Varina, NC 27526-2616
Mailing Address105 Breezewood DrGoldsboro, NC 27534-8901 · (919) 778-8469
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1457403156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NC · 6745
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1213 N MAIN ST, Fuquay Varina, NC 27526

Other Identifiers 1

Medicaid8990142NC

Other Providers at the Same Location NPPES 17

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

Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526
Dentist (General Practice)
1213 N MAIN ST
FUQUAY VARINA, NC 27526

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 Walter Kirk Jr's NPI number?

The NPI number for Walter Kirk Jr is 1457403156. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Walter Kirk Jr located?

Walter Kirk Jr practices at 1213 N Main St, Fuquay Varina, NC 27526. The listed phone number is (919) 552-9711.

What is Walter Kirk Jr's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Walter Kirk Jr was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.