Provider Demographics
NPI:1134407877
Name:WALKER, BRITTANY MACHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:MACHELLE
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 1:910 N EARL RUDDER FWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2930
Mailing Address - Country:US
Mailing Address - Phone:979-774-9999
Mailing Address - Fax:979-774-9991
Practice Address - Street 1:910 N EARL RUDDER FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2930
Practice Address - Country:US
Practice Address - Phone:979-774-9999
Practice Address - Fax:979-774-9991
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX265711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice