# DR. CHARLES CLAYTON WALKER III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205040680
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6402 | NC | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 822360 | UNITED CONCORDIA | NC |
| 05 | — | 8990020 | — | NC |
| 01 | — | 90020 | BCBS | NC |