Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104915040 Individual Practitioner Male Practitioner

Dr. Tracy E Walters , DDS

Dentist • Sebring, FL

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Walters, DDS is a registered healthcare professional specializing in Dentist in Sebring, FL. Practice services are available at 4850 SUN N LAKE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4850 Sun N Lake Blvd

Sebring, FL 338722110

Telephone 8636583276
Fax 8636583290
Associated Practice Facility / Clinic
🏢 Anthony Shydohub Md Pa Facility NPI 1972662286

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Sebring, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Sebring, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN21053

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License VA 0401411606

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1104915040 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2016

Registered at 4850 SUN N LAKE BLVD, SEBRING, FL 338722110 (Tel: 8636583276)

📍
Updated Business Mailing Address October 04, 2016

Registered at 4850 SUN N LAKE BLVD, SEBRING, FL 338722110 (Tel: 8636583276)

👤
Provider Name / Credentials Updated October 04, 2016

Recorded as TRACY WALTERS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2016

Dentist (License #DN21053 in FL)

🟢
Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104915040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: October 04, 2016
Sole Proprietor: Yes

Mailing Address

4850 Sun N Lake Blvd

Sebring, FL 338722110

Phone: 8636583276

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.