Provider Demographics
NPI:1801053590
Name:WALKER, SARAH DESIREE (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:DESIREE
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 1:720 OAKRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2324
Mailing Address - Country:US
Mailing Address - Phone:910-738-8444
Mailing Address - Fax:910-671-8251
Practice Address - Street 1:720 OAKRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2324
Practice Address - Country:US
Practice Address - Phone:910-738-8444
Practice Address - Fax:910-671-8251
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8588122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist