Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780712109 Individual Practitioner Male Practitioner

Dr. Wallace Lee Walker , DDS

Dentist - General Practice • Okemos, MI

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Walker, DDS is a registered healthcare professional specializing in Dentist - General Practice in Okemos, MI. Practice services are available at 2685 JOLLY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2685 Jolly Rd

Okemos, MI 488643553

Telephone 5179935924
Fax 5179935923
Associated Practice Facility / Clinic
🏢 Park Dental Of Okemos Pc Facility NPI 1477890689

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Okemos, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Okemos, MI (4360 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 12881

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

3 Associated Practitioners
NPI 1649288549

Doctor of Chiropractic, Physician Assistant (Certified)

Dr. Chelsea St. Claire , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1700371283

Doctor of Medicine (M.D.)

Sarah Kozar , PA-C

Physician Assistant

NPI 1770112120

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2013

Registered at 2685 JOLLY RD, OKEMOS, MI 488643553 (Tel: 5179935924)

📍
Updated Business Mailing Address January 08, 2013

Registered at 17524 DORSET AVE, SOUTHFIELD, MI 480754215 (Tel: 2484700822)

👤
Provider Name / Credentials Updated January 08, 2013

Recorded as WALLACE WALKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2013

Dentist (License #12881 in MI)

🟢
Initial NPI Registration & Enumeration February 28, 2007

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: 1780712109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: January 08, 2013
Sole Proprietor: No

Mailing Address

17524 Dorset Ave

Southfield, MI 480754215

Phone: 2484700822

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.