Provider Demographics
NPI:1124112388
Name:DIMLING, WALTER H (DMD)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:H
Last Name:DIMLING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690 ORANGE PL
Mailing Address - Street 2:SUITE 460
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4464
Mailing Address - Country:US
Mailing Address - Phone:216-464-0500
Mailing Address - Fax:216-464-0573
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:SUITE 460
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-464-0500
Practice Address - Fax:216-464-0573
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist