Christian Walker, DMD
Individual provider Active NPI General Practice Dentistry · Claxton, GA
NPI 1992497689 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1992497689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN123085 (GA)
- Practice address
- 201 E Long St
Claxton, GA 30417-1409 - Phone
- (912) 739-1595
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123085 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claxton Family Dentistry LLC | Past |
Accepting new patients | |
| Premier Dental Wellness LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN123085 | GA | Yes |
Addresses
Primary practice location
201 E Long St
Claxton, GA 30417-1409
Mailing address
5 Pipers Pond LN
Savannah, GA 31404-1122
Phone (770) 330-6239
Other practice location 1
1130 Brampton Ave
Statesboro, GA 30458-0847
Phone (912) 764-3724
Other providers in Claxton, GA
- Justin Thomas
- Shantel L Thomas
- Kevin Timperman
- Daniel Michael Tootle
- Walgreen Co
- Amber Durrence Wasson
- Brandi Tyson Watson
- Susan Yawn Williams
- Pamela Renee Williamson
- Suzannah J Williamson
All providers in Claxton, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.