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WALTER KELLEY FARRIS DMD
NPI 1780235655
Dentist - General Practice in Oak Park, IL

Active since September 23, 2019
1515 N HARLEM AVE STE 200, OAK PARK, IL 60302(708) 848-2853 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walter Kelley Farris Dmd NPPES

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

WALTER KELLEY FARRIS DMD (NPI 1780235655) is an individual general practice provider in Oak Park, Illinois, licensed in Illinois (019.032072) and active in the NPI registry since September 2019. He maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1780235655
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWALTER KELLEY FARRISCredential: DMD
Location Address1515 N HARLEM AVE STE 200Oak Park, IL 60302-1277
Mailing Address401 E Ontario St Apt 2506Chicago, IL 60611-4417 · (815) 861-1308
Phone(708) 848-2853
Sole ProprietorYes
Enumeration DateSeptember 23, 2019
✔ NPI 1780235655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.032072
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.

1515 N HARLEM AVE STE 200, Oak Park, IL 60302
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Secondary Practice Location 1

Location 1301 E Calhoun StWoodstock, IL 60098-4290 · Phone (815) 338-7774

Other Providers at the Same Location NPPES

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

EXQUISITE SMILES DENTAL PLLC
Dentist (General Practice)
1515 N HARLEM AVE STE 200
OAK PARK, IL 60302
Cook County (708) 848-2853

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 Farris's NPI number?

The NPI number for Walter Farris is 1780235655. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Walter Farris located?

Walter Farris practices at 1515 N Harlem Ave Ste 200, Oak Park, IL 60302. The listed phone number is (708) 848-2853.

What is Walter Farris'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 Walter Farris was last updated on September 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.