Provider Demographics
NPI:1841481397
Name:WALKER, WILLIAM TODD (DDS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:TODD
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 1:8 KINGS CROSS ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5201
Mailing Address - Country:US
Mailing Address - Phone:325-673-0745
Mailing Address - Fax:
Practice Address - Street 1:404 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:EASTLAND
Practice Address - State:TX
Practice Address - Zip Code:76448-2600
Practice Address - Country:US
Practice Address - Phone:254-629-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice