Provider Demographics
NPI:1588957187
Name:WALKER, ABBIE LEE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ABBIE
Middle Name:LEE
Last Name:WALKER
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:255 CREST ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4315
Mailing Address - Country:US
Mailing Address - Phone:616-308-9592
Mailing Address - Fax:
Practice Address - Street 1:U OF M SCHOOL OF DENTISTRY, 1011 N UNIVERSITY AVE
Practice Address - Street 2:PEDIATRIC CLINIC, ROOM 2075
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109
Practice Address - Country:US
Practice Address - Phone:734-764-1523
Practice Address - Fax:734-615-7294
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2021-04-21
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Provider Licenses
StateLicense IDTaxonomies
MI2901020800122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No122300000XDental ProvidersDentist