IndividualActive
Addison Walker, D.D.M.
NPI 1063867604 · Orthodontics and Dentofacial Orthopedics Dentistry · Little Rock, AR
Provider details
- NPI number
- 1063867604
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8791 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
12419 Cantrell Rd
Little Rock, AR 72223-1727
Phone: (501) 223-8442
Fax: (501) 224-2900
Approximate (ZIP-level) locationGet directions
Mailing address
12419 Cantrell Rd
Little Rock, AR 72223-1727
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.