Provider Demographics
NPI:1801015433
Name:WALKER, MARGARET S (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:S
Last Name:WALKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:PEGGY
Other - Middle Name:S
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1035 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5607
Mailing Address - Country:US
Mailing Address - Phone:064-751-8220
Mailing Address - Fax:406-751-8148
Practice Address - Street 1:1035 1ST AVE W
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5607
Practice Address - Country:US
Practice Address - Phone:406-751-8221
Practice Address - Fax:406-751-8102
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9670122300000X, 1223G0001X
TX348171223G0001X
MT2021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT11-1146Medicaid
MT11-1146Medicaid