MEDICARE: DR. STEPHEN SCOTT WALKER DDS, MS

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	23867	TX

General Provider Information

NPI Number	:	1851548028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN SCOTT WALKER DDS, MS

Provider Business Mailing Address
First Line	:	1703 E BELT LINE RD
Second Line	:	SUITE 100
City	:	COPPELL
State	:	TX
Zip	:	75019-9606
Country	:	US
Telephone Number	:	972-462-9800
Fax Number	:	469-635-3503

Provider Business Practice Location Address
First Line	:	1703 E BELT LINE RD
Second Line	:	SUITE 100
City	:	COPPELL
State	:	TX
Zip	:	75019-9606
Country	:	US
Telephone Number	:	972-462-9800
Fax Number	:	469-635-3503

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

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	07/30/2014

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