WALTER EMANUEL ODISHO DDS
NPI 1710362447
Dentist - Prosthodontics in Fairfax, VA

Q: What is Walter Odisho's NPI number?

The NPI number for Walter Odisho is 1710362447. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Q: What is Walter Odisho's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Walter Odisho was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 23, 2015

3040 WILLIAMS DR STE 201, FAIRFAX, VA 22031(571) 419-6897 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Walter Emanuel Odisho Dds NPPES

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

WALTER EMANUEL ODISHO DDS (NPI 1710362447) is an individual prosthodontics provider in Fairfax, Virginia, licensed in Virginia (0401416043) and active in the NPI registry since July 2015. He maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1710362447

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameWALTER EMANUEL ODISHOCredential: DDS

Location Address3040 WILLIAMS DR STE 201Fairfax, VA 22031

Mailing Address7 N Calvert St Apt 1502Baltimore, MD 21202-2259 · (786) 333-6862

Phone(571) 419-6897

Sole ProprietorNo

Enumeration DateJuly 23, 2015

Last NPPES UpdateMay 17, 2018

✔ NPI 1710362447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in VA · 0401416043

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

3040 WILLIAMS DR STE 201, Fairfax, VA 22031

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Secondary Practice Location 1

Location 1650 W Baltimore St Fl 4Baltimore, MD 21201-1510 · Phone (410) 706-7101

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Odisho's NPI number?

The NPI number for Walter Odisho is 1710362447. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Walter Odisho located?

Walter Odisho practices at 3040 Williams Dr Ste 201, Fairfax, VA 22031. The listed phone number is (571) 419-6897.

What is Walter Odisho's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Walter Odisho accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 1 other insurer list Walter Odisho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Odisho was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.