Provider Demographics
NPI:1932913449
Name:SHAYLA WALKER, D.M.D., P.A.
Entity type:Organization
Organization Name:SHAYLA WALKER, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-718-9660
Mailing Address - Street 1:215 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5958
Mailing Address - Country:US
Mailing Address - Phone:801-718-9660
Mailing Address - Fax:
Practice Address - Street 1:10441 US HWY 15 501 HWY N # 200
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6468
Practice Address - Country:US
Practice Address - Phone:919-913-6105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty