Provider Demographics
NPI:1770516114
Name:SAXON, WALTER EDWARD JR (DDS)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:EDWARD
Last Name:SAXON
Suffix:JR
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:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:DILLWYN
Mailing Address - State:VA
Mailing Address - Zip Code:23936-0270
Mailing Address - Country:US
Mailing Address - Phone:434-983-2600
Mailing Address - Fax:434-983-4806
Practice Address - Street 1:15320 N. JAMES MADISON HIGHWAY
Practice Address - Street 2:
Practice Address - City:DILLWYN
Practice Address - State:VA
Practice Address - Zip Code:23936-0270
Practice Address - Country:US
Practice Address - Phone:434-983-2600
Practice Address - Fax:434-983-4806
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401-0059671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice