Provider Demographics
NPI:1306972666
Name:DUKES, WALTER CLAUDE (DDS)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:CLAUDE
Last Name:DUKES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 CLIFF DR
Mailing Address - Street 2:STE. D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1641
Mailing Address - Country:US
Mailing Address - Phone:805-963-1222
Mailing Address - Fax:805-730-9224
Practice Address - Street 1:1809 CLIFF DR
Practice Address - Street 2:STE. D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1641
Practice Address - Country:US
Practice Address - Phone:805-963-1222
Practice Address - Fax:805-730-9224
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA274261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice