1201 JEFFERSON ST SUITE 220
WASHINGTON, MO 63090-4454 US PECOS Enrolled
Overview
Daniel Gerard Walde is a General Dentist in the WASHINGTON area. Daniel Gerard Walde primary office location is at 1201 JEFFERSON ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205856572 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 014944 | MO |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| General Dentist - Taxonomy Code 1223G0001X | MO | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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