Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin O Waltrous, DMD

Individual provider General Practice Dentistry · NPI 1558439307

Dr. Kevin O Waltrous, DMD is a General Practice Dentistry in Rockaway Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

11404 Beach Channel Dr
Rockaway Park, NY 11694-2211
Phone: (718) 346-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 053124 (NY)

Record details

NPI number1558439307
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 1, 2006
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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