Provider Demographics
NPI:1891837928
Name:WALKER, G. WILLIAM (DMD, MAGD)
Entity Type:Individual
Prefix:DR
First Name:G.
Middle Name:WILLIAM
Last Name:WALKER
Suffix:
Gender:M
Credentials:DMD, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5276
Mailing Address - Country:US
Mailing Address - Phone:724-285-3305
Mailing Address - Fax:724-285-8511
Practice Address - Street 1:210 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5276
Practice Address - Country:US
Practice Address - Phone:724-285-3305
Practice Address - Fax:724-285-8511
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020892L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice