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

Walter J Jankowski, DMD

Individual provider General Practice Dentistry · NPI 1700805512

Walter J Jankowski, DMD is a General Practice Dentistry in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5011 N Illinois St Ste 1
Fairview Heights, IL 62208-1717
Phone: (618) 222-1942
Fax: (618) 222-2819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019024660 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019024660 (IL)

Record details

NPI number1700805512
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 6, 2009
Mailing address5011 N. Illinois St., Ste 1, Fairview Heights, IL 62208-1717

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