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DR. WALTER REED DICKINSON D.M.D.
NPI 1689892572
Dentist - Periodontics in Santa Rosa, CA

Active since April 23, 2007
1416 TOWNVIEW LN, SANTA ROSA, CA 95405(707) 578-3010(707) 578-0343 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter Reed Dickinson D.m.d. NPPES

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

DR. WALTER REED DICKINSON D.M.D. (NPI 1689892572) is an individual periodontics provider in Santa Rosa, California, licensed in California (30926) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1689892572
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WALTER REED DICKINSONCredential: D.M.D.
Location Address1416 TOWNVIEW LNSanta Rosa, CA 95405
Mailing Address1416 Townview LnSanta Rosa, CA 95405 · (707) 578-3010 · Fax (707) 578-0343
Phone(707) 578-3010
Fax(707) 578-0343
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689892572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 30926
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.
1416 TOWNVIEW LN, Santa Rosa, CA 95405
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Other Providers at the Same Location NPPES 4

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

J. JAY UEMURA, D.D.S. A DENTAL CORPORATION
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Sonoma County (707) 525-0555
DR. RAIME SHAH DDS, MS
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Sonoma County (707) 525-0555
DR. JAY UEMURA D.D.S.
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Sonoma County (707) 525-0555
DR. RICHARD STEPHEN JENDERSECK D.D.S,
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Sonoma County (707) 578-3010

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 Dickinson's NPI number?

The NPI number for Walter Dickinson is 1689892572. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Walter Dickinson located?

Walter Dickinson practices at 1416 Townview Ln, Santa Rosa, CA 95405. The listed phone number is (707) 578-3010.

What is Walter Dickinson'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 Dickinson 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.