Individual provider · Type 1 NPI

Shannan Jesse Walker, DDS

Dentist · Great Lakes, IL

NPI number 1043878358 Active

Practice location

2410 Sampson St
Great Lakes, IL 60088-2942

Call (847) 688-3331 Map

Mailing address

625 Scrub Oak Rd
Manitou Springs, CO 80829-2543

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDEN.00204008 (CO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1043878358

Shannan Jesse Walker, DDS's National Provider Identifier is 1043878358, issued on May 31, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Great Lakes, IL. The record was last updated on May 31, 2019.