Healthcare Provider Details

I. General information

NPI: 1245149921
Provider Name (Legal Business Name): BAILEY WALKER DEHART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 NORTH AVE
GRAND JUNCTION CO
81501-6428
US

IV. Provider business mailing address

686 LADORE ST
GRAND JUNCTION CO
81504-5585
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-0731
  • Fax:
Mailing address:
  • Phone: 970-250-0918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH.002024764
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: