# H. CARROLL WALKER, JR., DDS,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124209465
- **Authorized official:** MRS. DARCY REDUS (OFFICE MGR)
- **Authorized official phone:** (662) 323-9726

## Contact information

- **Practice address:** 100 BRANDON RD STE W, STARKVILLE, MS 39759-2571
- **Practice address phone:** (662) 323-9726
- **Practice address fax:** (662) 323-9727
- **Mailing address:** 100 BRANDON RD STE W, STARKVILLE, MS 39759-2571
- **Mailing address phone:** (662) 323-9726
- **Mailing address fax:** (662) 323-9727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | PEDO-006-74 | MS | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09205284 | — | MS |
