Provider Demographics
NPI:1043418817
Name:WALKER, ALEX K (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:K
Last Name:WALKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3701 N EVERBROOK LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5270
Mailing Address - Country:US
Mailing Address - Phone:765-216-1633
Mailing Address - Fax:812-917-2152
Practice Address - Street 1:INDY ORAL SURGERY
Practice Address - Street 2:3701 N. EVERBROOK LN.
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304
Practice Address - Country:US
Practice Address - Phone:765-216-1633
Practice Address - Fax:765-216-1374
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN12011016A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery