Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194809897 Individual Practitioner Male Practitioner

Dr. John Douglas Walters , DDS

Dentist - Periodontics • Columbus, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. John Walters, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Columbus, OH. Official NPI practice address is registered at 305 W 12TH AVE.

Practice Location & Contact Primary Location

Practice Address

305 W 12th Ave
Dental Faculty Practice Association Inc

Columbus, OH 432101267

Telephone 6142921472
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Columbus, OH (209 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License OH 30-017764

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Amir Houman Khatami , DDS

Dentist - Prosthodontics

NPI 1033283403

Doctor of Dental Surgery

Dr. Toru Deguchi , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1104263870

Doctor of Dental Surgery

Paola Saponaro

Dentist - Prosthodontics

NPI 1104283217
Fengyuan Zheng

Dentist - Prosthodontics

NPI 1114336815
Dr. Lisa Knobloch , DDS

Dentist - Prosthodontics

NPI 1144371907

Doctor of Dental Surgery

Dr. I-Ching Wang , DDS, MS

Dentist - Periodontics

NPI 1184216756

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 305 W 12TH AVE, DENTAL FACULTY PRACTICE ASSOCIATION INC, COLUMBUS, OH 432101267 (Tel: 6142921472)

📍
Updated Business Mailing Address July 08, 2007

Registered at 305 W 12TH AVE RM 4113, OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY, COLUMBUS, OH 432101267 (Tel: 6142921169)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN WALTERS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #30-017764 in OH)

🟢
Initial NPI Registration & Enumeration October 25, 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: 1194809897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

305 W 12th Ave Rm 4113, Ohio State University College Of Dentistry

Columbus, OH 432101267

Phone: 6142921169

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.