IndividualActive
Walter Dickinson, D.M.D.
NPI 1689892572 · Periodontics · Santa Rosa, CA
Walter Dickinson, D.M.D. is a Periodontics provider in Santa Rosa, CA (NPI 1689892572).
Provider details
- NPI number
- 1689892572
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30926 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1416 Townview Ln
Santa Rosa, CA 95405
Phone: (707) 578-3010
Fax: (707) 578-0343
Street-level locationGet directions
Mailing address
1416 Townview Ln
Santa Rosa, CA 95405
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Walter Dickinson's NPI number?
- Walter Dickinson's National Provider Identifier (NPI) is 1689892572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Walter Dickinson's specialty?
- Walter Dickinson is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Walter Dickinson located?
- Walter Dickinson's practice location on file with NPPES is 1416 Townview Ln, Santa Rosa, CA 95405.
- What is Walter Dickinson's phone number?
- The practice phone number listed in the NPPES registry for Walter Dickinson is (707) 578-3010.
- Is Walter Dickinson's NPI active?
- Yes — Walter Dickinson's NPI (1689892572) is active in the NPPES registry as of the last update on 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.