IndividualActive
Douglas Walters, D.D.S.
NPI 1487695169 · Periodontics · Kansas City, MO
Provider details
- NPI number
- 1487695169
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 2002011684 (MO)
Specialties & taxonomies
Dental Providers
Practice location
411 Nichols Rd
Suite 236
Kansas City, MO 64112-2000
Phone: (816) 753-0202
Fax: (816) 753-0253
Approximate (ZIP-level) locationGet directions
Mailing address
411 Nichols Rd
Kansas City, MO 64112-2000
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.