Provider Demographics
NPI:1134279219
Name:WALTON, STEVEN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:WALTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 ARLINGTON CENTRE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2993
Mailing Address - Country:US
Mailing Address - Phone:614-457-1481
Mailing Address - Fax:614-457-6489
Practice Address - Street 1:5025 ARLINGTON CENTRE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2993
Practice Address - Country:US
Practice Address - Phone:614-457-1481
Practice Address - Fax:614-457-6489
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH165091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH16509OtherDENTAL LICENCE NUMBER
OH311185573OtherTAX IDENTIFICATION NUMBER