Provider Demographics
NPI:1235526054
Name:WALTON, SARAH KATHERINE (DDS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:WALTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-3456
Mailing Address - Country:US
Mailing Address - Phone:406-222-6061
Mailing Address - Fax:406-222-6062
Practice Address - Street 1:422 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-3456
Practice Address - Country:US
Practice Address - Phone:406-222-6061
Practice Address - Fax:406-222-6062
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030275122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist