Provider Demographics
NPI:1548602683
Name:WALKER, STEPHEN BRUCE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BRUCE
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 451
Mailing Address - Street 2:
Mailing Address - City:CASHIERS
Mailing Address - State:NC
Mailing Address - Zip Code:28717-0451
Mailing Address - Country:US
Mailing Address - Phone:828-743-3393
Mailing Address - Fax:828-743-5038
Practice Address - Street 1:130 US HWY 64 EAST PB 451
Practice Address - Street 2:
Practice Address - City:CASHIERS
Practice Address - State:NC
Practice Address - Zip Code:28717-0451
Practice Address - Country:US
Practice Address - Phone:828-743-3393
Practice Address - Fax:828-743-5038
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC027122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist