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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
Periodontics

About WALTER KIRK JR

This page provides the complete NPI Profile along with additional information for Walter Kirk Jr, a provider established in Fuquay Varina, North Carolina with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1457403156 assigned on January 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 6745 (NC). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI: 1457403156 Verify this NPI
Provider Name: WALTER CHARLES KIRK JR DMD
Gender: Female
Entity Type: Individual
Location Address: 1213 N MAIN ST FUQUAY VARINA, NC 27526
Location Phone: (919) 552-9711
Mailing Address: 105 BREEZEWOOD DR GOLDSBORO, NC 27534
Mailing Phone: (919) 778-8469
Is Sole Proprietor?: No
Enumeration Date: 01-16-2007
Last Update Date: 07-08-2007
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A dentist like Walter Kirk Jr is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Periodontics
Taxonomy Code: 1223P0300X
Type: Dental Providers
License No.: 6745
License State: NC
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
8990142	MEDICAID (05)	NC