Provider Demographics
NPI:1932761525
Name:WALKER, SHAMERE TONA (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAMERE
Middle Name:TONA
Last Name:WALKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 QUEENS LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1031
Mailing Address - Country:US
Mailing Address - Phone:615-979-7961
Mailing Address - Fax:
Practice Address - Street 1:2292 DALTON DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8960
Practice Address - Country:US
Practice Address - Phone:931-503-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11394122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist