Provider Demographics
NPI:1356506810
Name:AFFORDABLE DENTURES - CHILLICOTHE, JOSEPH B. WALTON, DDS, INC.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - CHILLICOTHE, JOSEPH B. WALTON, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-772-6858
Mailing Address - Street 1:51 N PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1761
Mailing Address - Country:US
Mailing Address - Phone:740-772-6858
Mailing Address - Fax:
Practice Address - Street 1:51 N PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1761
Practice Address - Country:US
Practice Address - Phone:740-772-6858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015535122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty