| Organization Name: | H. CARROLL WALKER, JR., DDS,PA |
| NPI Number: | 1124209465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARCY REDUS (OFFICE MGR) |
| Mailing Address: | 100 Brandon Rd Ste W Starkville |
| State: | MS US |
| Postal Code: | 397592571 |
| Phone Number: | 6623239726 |
| Fax Number: | 6623239727 |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | PEDO-006-74 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | 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. |