Provider Demographics
NPI:1174707913
Name:ROBERT F. WALKER JR., D.D.S., P.C.
Entity type:Organization
Organization Name:ROBERT F. WALKER JR., D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:480-786-4000
Mailing Address - Street 1:2055 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE #22
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-2866
Mailing Address - Country:US
Mailing Address - Phone:480-786-4000
Mailing Address - Fax:480-786-1841
Practice Address - Street 1:2055 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE #22
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2866
Practice Address - Country:US
Practice Address - Phone:480-786-4000
Practice Address - Fax:480-786-1841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4786 AZ261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental