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

Dr. Nathan Frederick Walters, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1265424907

Dr. Nathan Frederick Walters, DMD is a Maxillofacial Surgery in Louisville, Kentucky. Graduated from University of Texas Medical School at Houston in 2004, 22 years ago. Licensed in Kentucky.

Years since qualifying
22
Trained at
University of Texas Medical School at Houston
Licensed in
KY
In the registry since
2005
Specialties on file
2
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

2800 Cannons Ln Ste 200
Louisville, KY 40205-2164
Phone: (502) 454-4885
Fax: (502) 452-1926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 8066 (KY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 8066 (KY)

Record details

NPI number1265424907
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESNovember 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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