Provider Demographics
NPI:1427378975
Name:WALKER, DAVID GLENN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GLENN
Last Name:WALKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4358 BRIDGES ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-0166
Mailing Address - Country:US
Mailing Address - Phone:252-726-1137
Mailing Address - Fax:252-247-3181
Practice Address - Street 1:4358 BRIDGES ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-0166
Practice Address - Country:US
Practice Address - Phone:252-726-1137
Practice Address - Fax:252-247-3181
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC89511223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics