| Walker Dental Care | |
|
225 Longtown Road Columbia SC 29229 | |
| (803) 865-9919 | |
| Not Available |
| Full Name | Walker Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 225 Longtown Road, Columbia, South Carolina |
| Authorized Official Name and Position | Lee Anderson Walker (COOWNER) |
| Authorized Official Contact | 8038659919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walker Dental Care 223 N Woodlake Dr Columbia SC 29229-8919 Ph: (803) 865-9919 | Walker Dental Care 225 Longtown Road Columbia SC 29229 Ph: (803) 865-9919 |
| NPI Number | 1417169707 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417169707 | NPI | - | NPPES |
| ZX4038 | Medicaid | SC | |
| ZX3984 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3984 (South Carolina) | Secondary |
| 122300000X | Dentist | 4038 (South Carolina) | Primary |
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