Provider Demographics
NPI:1245388081
Name:BIGGS, WALTER F (DMD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:F
Last Name:BIGGS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4359 SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4942
Mailing Address - Country:US
Mailing Address - Phone:850-444-9988
Mailing Address - Fax:850-444-9980
Practice Address - Street 1:4359 SPANISH TRL
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-4942
Practice Address - Country:US
Practice Address - Phone:850-444-9988
Practice Address - Fax:850-444-9980
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL99801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice