MEDICARE: LEIGH TANYA WALKER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	3073-98	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1683556	OTHER	MS	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1265559496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH TANYA WALKER DMD

Provider Business Mailing Address
First Line	:	217 KINGSBRIDGE RD
Second Line	:
City	:	MADISON
State	:	MS
Zip	:	39110-8486
Country	:	US
Telephone Number	:	601-790-4374
Fax Number	:

Provider Business Practice Location Address
First Line	:	2891 TERRY RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-3051
Country	:	US
Telephone Number	:	601-371-1157
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1598797532 — FREDS STORES OF TENNESSEE INC
Practice Location Address:

2885 TERRY RD
JACKSON, MS
39212-3051

Practice Phone: 601-373-6783
Practice Fax: 601-371-9137

1205909777 — BROOKSHIRE GROCERY COMPANY
Practice Location Address:

2861 TERRY RD , ATTENTION PHARMACY DEPT
JACKSON, MS
39212-3051

Practice Phone: 601-372-2387
Practice Fax: 601-372-0369

1588972004 — DR. BETTINA J. ADAMS PHARM.D.
Practice Location Address:

2885 TERRY RD
JACKSON, MS
39212-3051

Practice Phone: 601-373-6783
Practice Fax: 601-371-9137

1912664509 — LEGACY 4 CHANGE
Practice Location Address:

2891 TERRY RD
JACKSON, MS
39212-3051

Practice Phone: 769-203-8141
Practice Fax:

1134072309 — FAYA THERAPY LLC
Practice Location Address:

1121 JACKSON ST NE STE 100
MINNEAPOLIS, MN
55413-3051

Practice Phone: 612-293-7353
Practice Fax:

1164472866 — WAVERLEY HEALTH CARE CONSULTANTS, INC.
Practice Location Address:

460 BRIARWOOD DR , SUITE 410
JACKSON, MS
39206-3051

Practice Phone: 601-956-1576
Practice Fax:

Directions to “ LEIGH TANYA WALKER DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.