Tracy Dean Walker in Mc Donald - Pediatric Dentistry
Tracy Dean Walker - NPI 1437161890
Tracy Dean Walker is a Pediatric Dentistry in Mc Donald, Tennessee. Tracy Dean Walker practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tracy Dean Walker is 1437161890. The last update date is 2018-05-25.
Tracy Dean Walker's current location address is 4980 S Lee Hwy Unit 22, Mc Donald, Tennessee. You can contact this provider via phone number 8057945842. The mailing address for Tracy Dean Walker is 4980 S Lee Hwy Unit 22, Mc Donald, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Dean Walker |
|---|---|
| Address | 4980 S Lee Hwy Unit 22, Mc Donald, Tennessee |
| Phone Number | 8057945842 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1437161890 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2018-05-25 |
Provider Mailing Address Detail
| Address | 4980 S Lee Hwy Unit 22 |
|---|---|
| City | Mc Donald |
| State | Tennessee (TN) |
| Post Code | 373535786 |
| Phone Number | 8057945842 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 10163 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q030018 | TN | -- |
Post Comment/ Review Below
What is the Tracy Dean Walker's unique identification number?
The Tracy Dean Walker has been assigned the NPI (National Provider Identifier) Number 1437161890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Tracy Dean Walker's facilities are situated?
The facilities of Tracy Dean Walker are physically located at the following address: 4980 S Lee Hwy Unit 22, Mc Donald, TN, 373535786.
What is the Tracy Dean Walker's specialty and taxonomy code?
The Tracy Dean Walker's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did the Tracy Dean Walker receive its 1437161890?
The Tracy Dean Walker was issued its 1437161890 on 2006-08-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Tracy Dean Walker's details last updated?
The information pertaining to the Tracy Dean Walker, including its address, specialty, and other details, was most recently updated on 2018-05-25.
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