Dr. Nathan Frederick Walters
DMD | Oral and Maxillofacial Surgeon | 22+ years Exp
2800 Cannons Ln Ste 200, Louisville
Kentucky, 40205-2164
502-454-4885 502-452-1926
Maps & DirectionsDr. Nathan Frederick Walters is a Louisville, Kentucky based Oral and Maxillofacial Surgeon with
22 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
University Of Texas Medical School At Houston in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Nathan Frederick Walters is
8066 for Oral and Maxillofacial Surgery in Kentucky. His current practice location is
2800 Cannons Ln Ste 200, Louisville. Patients can reach him at
502-454-4885.
Dr. Nathan Frederick Walters deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Nathan Frederick Walters speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Nathan Frederick Walters |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD |
| Experience: | 22+ years |
| Medical School Attended: | University Of Texas Medical School At Houston |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2800 Cannons Ln Ste 200, Louisville,
Kentucky, 40205-2164 |
| Phone: | 502-454-4885 |
| Fax: | 502-452-1926 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7113988890 |
| Enrollment ID: | I20041026000247 |
| NPI Number: | 1265424907 |
| NPI Enumeration Date: | 18 Aug, 2005 |
| NPI Last Update On: | 12 Nov, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nathan Frederick Walters are as mentioned below.
| License Number | Specialization | State | Status | |
| 8066 | Oral and Maxillofacial Surgery | Kentucky | Primary | |
| 8066 | Oral & Maxillofacial Surgery | Kentucky | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Nathan Frederick Walters is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Kentuckiana Oral And Maxillofacial Surgery Assoc Psc (9638163454) | 5 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nathan Frederick Walters such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200498320 | Medicaid | Indiana | |
| 000000339061 | Other | Kentucky | BC/BS |
| 60002789 | Medicaid | Kentucky | |
| 64082688 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2800 Cannons Ln Ste 200,
Louisville, Kentucky |
| Zip: | 40205-2164 |
| Phone Number: | 502-454-4885 |
| Fax Number: | 502-452-1926 |
Patients can reach Dr. Nathan Frederick Walters at
2800 Cannons Ln Ste 200, Louisville, Kentucky or can
call to book an appointment on 502-454-4885.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.