Healthcare Provider Details

I. General information

NPI: 1578764437
Provider Name (Legal Business Name): LESLIE F WALKER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 HOLLOW BROOK DR STE 200
COLORADO SPRINGS CO
80918-1790
US

IV. Provider business mailing address

2116 HOLLOW BROOK DR STE 200
COLORADO SPRINGS CO
80918-1790
US

V. Phone/Fax

Practice location:
  • Phone: 719-597-0038
  • Fax: 719-597-6239
Mailing address:
  • Phone: 719-597-0038
  • Fax: 719-597-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDEN.00206268
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: