Provider Demographics
NPI:1154517910
Name:WALKER, GEORGE DWIGHT (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:DWIGHT
Last Name:WALKER
Suffix:
Gender:M
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:PO BOX 12137
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-5137
Mailing Address - Country:US
Mailing Address - Phone:340-774-1675
Mailing Address - Fax:340-774-1675
Practice Address - Street 1:3004 ALTONA WELGUNST 211
Practice Address - Street 2:MEDICAL ARTS COMPLEX #20
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-1675
Practice Address - Fax:340-774-1675
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI3801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice