DR. SACHA DELISA WALTERS (NPI# 1538313481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538313481 |
| Entity Type | Individual |
| Full Name | DR. SACHA DELISA WALTERS |
| Credential | DDS |
| Practice Address |
2410 Evergreen Rd Ste 101 Gambrills MD 21054-1979 |
| Mailing Address |
1120 Amelia Park Dr Franklin TN 37067-2503 |
| Practice Telephone | 4107213393 |
| Practice Fax Number | 6784444152 |
| Mailing Telephone | 5495591832 |
| Mailing Fax Number | 9545591832 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17202 | MD | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
17202 | MD | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS0000010150 | TN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5109 Peter Taylor Park Dr, Brentwood, TN 37027 | 6153734047 |
| Street Address |
2410 EVERGREEN RD STE 101 |
| City | GAMBRILLS |
| State | MD |
| Zip Code | 21054-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437561487 | James Ray Jenkins II | Dentist | 2410 Evergreen Rd Ste 101, Gambrills, MD 21054 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
| 1144873043 | Sadia Cheema | Nurse Practitioner | 1071 Md-3 North, Suite 101, Gambrills, MD 21054 | 2019-07-19 |
| 1235699620 | Sara Fiore Schwartz | Nurse Practitioner | 1071 Md-3 Suite 101, Gambrills, MD 21054 | 2019-03-21 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1821546391 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1153 Route 3 N, Suite 35, Gambrills, MD 21054 | 2016-09-14 |
| 1780039818 | Drs Ergent Care, LLC | Clinic/Center | 1071 Route 3 N, Gambrills, MD 21054 | 2016-04-26 |
| 1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
| 1134485535 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1402 S. Main Chapel Way, Suite 114, Gambrills, MD 21054 | 2012-04-10 |
| Find all providers in zip 21054 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| 1962892612 | Olga Baczara | Dentist | 2401 Brandermill Blvd Ste 140, Gambrills, MD 21054-1691 | 2015-02-03 |
| 1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
| 1972870509 | Neibauer Dental Care, PC | Dentist | 1166 State Route 3 S, Suite 211, Gambrills, MD 21054-1767 | 2011-11-28 |
| 1902038557 | Dr. Olga Baczara | Dentist | 2401 Brandermill Blvd., Ste. 140, Gambrills, MD 21054 | 2009-08-17 |
| 1962609420 | Stephen Charles Molz | Dentist | 747 Annapolis Rd, Gambrills, MD 21054-1308 | 2007-06-28 |
| 1174733844 | Robert Michael Daly | Dentist | 2391 Brandermill Blvd, 102, Gambrills, MD 21054-1847 | 2007-05-23 |
| 1396951737 | Karen H Klocko | Dentist | 1375 Defense Hwy, Gambrills, MD 21054-1903 | 2007-05-15 |
| 1669699575 | Bellamy Family Dentistry, LLC | Dentist | 2624 Brandermill Blvd, Gambrills, MD 21054-1651 | 2007-04-20 |
| 1902919921 | Kimberly Ann Burroughs | Dentist | 325 Gambrills Rd, C, Gambrills, MD 21054-1102 | 2006-08-16 |
| Find all providers in GAMBRILLS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.