Provider Demographics
NPI:1205325164
Name:WALKER, SHAYLA (DMD)
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:
Last Name:WALKER
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10441 US 15 501 N STE 200
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-6468
Mailing Address - Country:US
Mailing Address - Phone:919-913-6105
Mailing Address - Fax:
Practice Address - Street 1:10441 US 15 501 N STE 200
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6468
Practice Address - Country:US
Practice Address - Phone:919-913-6105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC114561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice