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Tracy Dean Walker, DDSMS
Pediatric Dentist in Ooltewah, Tennessee
NPI 1437161890

Tracy Dean Walker is a Pediatric Dentist based in Mc Donald, TN and is specialized in Pediatric Dentistry. Tracy Dean Walker practices in Ooltewah, TN and has the professional credentials of DDSMS. The NPI Number for Tracy Dean Walker is 1437161890 and holds a License No. 10163 (Tennessee).

The current practice location address for Tracy Dean Walker is 7808 Mahan Gap Rd, Ooltewah, TN and can be reached out via phone at 805-794-5842.

Location: 7808 Mahan Gap Rd, Ooltewah, TN, 37353-5786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437161890
Provider Name
Tracy Dean Walker
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
7808 Mahan Gap Rd, Ooltewah, TN, 37353-5786
Phone Number
805-794-5842
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q030018 05 TN
institution
Provider Business Practice Location Address Details
Address
7808 Mahan Gap Rd
City
Ooltewah
State
Tennessee
Zip
37363-5708
Phone Number
805-794-5842
Fax Number
person
Provider Business Mailing Address Details
Address
7808 Mahan Gap Rd
City
Ooltewah
State
Tennessee
Zip
37363-5708
Phone Number
805-794-5842
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
10163 (Tennessee)
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.
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