Individual
DR. JEFFREY M WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1002 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-3383
(573) 472-3346
Mailing address
1002 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-3383
(573) 472-3346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001020308
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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