IndividualActive
Carl Waltke, D.M.D.
NPI 1871671016 · Oral and Maxillofacial Surgery (Dentist) · Old Tappan, NJ
Provider details
- NPI number
- 1871671016
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16438 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
180 Old Tappan Rd
Old Tappan, NJ 07675-7052
Phone: (201) 767-4001
Fax: (201) 767-4632
Approximate (ZIP-level) locationGet directions
Mailing address
180 Old Tappan Rd
Old Tappan, NJ 07675-7052
Registry dates
- Enumerated
- 2006-11-02
- 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.