Provider Demographics
NPI:1114989340
Name:WALKER, ROBERT F JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:WALKER
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 1:1120 S DOBSON RD
Mailing Address - Street 2:STE 105
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6165
Mailing Address - Country:US
Mailing Address - Phone:480-786-4000
Mailing Address - Fax:480-786-1841
Practice Address - Street 1:1120 S DOBSON RD
Practice Address - Street 2:STE 105
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6165
Practice Address - Country:US
Practice Address - Phone:480-786-4000
Practice Address - Fax:480-786-1841
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4786AZ122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist