DR. BRADLEY STEPHEN WALKER DMD NPI 1164688800

NPI Information

NPI: 1164688800
Provider Name: DR. BRADLEY STEPHEN WALKER, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1434 E 4500 S STE 102
HOLLADAY, UT
ZIP 84117
Phone: (801) 273-5632
Get Directions

DR. Bradley Stephen Walker, DMD is a pediatric dentistry dentist in Holladay, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Bradley Stephen Walker, DMD NPI is 1164688800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1434 E 4500 S STE 102
HOLLADAY, UT
ZIP 84117-252
Phone: (801) 273-5632

The enumeration date for this NPI number is 8/1/2008 and was last updated on 9/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		7030084-9922	UTAH	No
2	1223P0221X	Dentist	Pediatric Dentistry	7030084-9922	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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