Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669147302 Individual Practitioner Female Practitioner

Dr. Kelly Walker , DMD

Dentist - General Practice • Wilmington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Walker, DMD is a registered healthcare professional specializing in Dentist - General Practice in Wilmington, IL. Practice services are available at 101 FULTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Fulton St

Wilmington, IL 604811694

Telephone 8154766755
Associated Practice Facility / Clinic
🏢 Grand Dental Associates, P.c. Facility NPI 1376992560

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wilmington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Wilmington, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019033776

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D11510

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1063501013

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 09, 2022

Registered at 101 FULTON ST, WILMINGTON, IL 604811694 (Tel: 8154766755)

📍
Updated Business Mailing Address October 09, 2022

Registered at 41 MAYFLOWER DR, BATAVIA, IL 605102808 (Tel: 6303386439)

📍
Updated Business Mailing Address April 08, 2022

Registered at 1290 NE MARGEAUX PL, HILLSBORO, OR 971244077 (Tel: 6303386439)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2022

Dentist (License #D11510 in OR)

NPI Profile Active August 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2021

Registered at 16155 NW CORNELL RD STE 450, BEAVERTON, OR 970068101 (Tel: 9712474299)

📍
Updated Business Mailing Address August 13, 2021

Registered at 3155 S MOODY AVE APT 709, PORTLAND, OR 972394735 (Tel: 6303386439)

👤
Provider Name / Credentials Updated August 13, 2021

Recorded as KELLY WALKER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2021

Dentist (License #D15510 in OR)

🟢
Initial NPI Registration & Enumeration August 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669147302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2021
Last Update: October 09, 2022
Sole Proprietor: No

Mailing Address

41 Mayflower Dr

Batavia, IL 605102808

Phone: 6303386439

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.