Provider Demographics
NPI:1659389542
Name:WALKER, LEONARD KENNETH (DMD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:KENNETH
Last Name:WALKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 EXETER RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1908
Mailing Address - Country:US
Mailing Address - Phone:603-926-8715
Mailing Address - Fax:
Practice Address - Street 1:165 EXETER RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1908
Practice Address - Country:US
Practice Address - Phone:603-926-8715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice