Provider Demographics
NPI:1619036449
Name:WALKER, JAMESE BASSETT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMESE
Middle Name:BASSETT
Last Name:WALKER
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 1:10941 LANDS END DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95209-4289
Mailing Address - Country:US
Mailing Address - Phone:209-241-7970
Mailing Address - Fax:
Practice Address - Street 1:10941 LANDS END DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95209-4289
Practice Address - Country:US
Practice Address - Phone:209-241-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53966122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist