Organization
SHAWN R WALTON
Active
Other names
Walton Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN R WALTON DDS (DENTIST)
(712) 255-7607
Entity
Organization
Contact information
Practice address
2928 HAMILTON BLVD, SUITE 102, SIOUX CITY, IA 51104
(712) 255-7607
(712) 255-4507
Mailing address
2928 HAMILTON BLVD, SUITE 102, SIOUX CITY, IA 51104
(712) 255-7607
(712) 255-4507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07610
IA
122300000X
Dentist
08441
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102343
—
IA
05
—
10025415600
—
NE
Enumeration date
08/31/2006
Last updated
08/22/2020
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