Most Relevant Information
Provider Data
| NPI Number: | 1003545294 |
| Provider Name: | NIKESHA WALTERS DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2024016719 |
Most Important Dates
| Enumeration Date: | 06/06/2022 |
| Last Updated: | 07/19/2024 |
Provider Practice Location
200 PORTLAND ST
COLUMBIA
MO
652016525
Practice Location Phone/Fax
| Phone: | 8448538937 |
| Fax: |
Provider Mailing Location
1800 COMMUNITY
CLINTON
MO
647358804
Provider Mailing Phone/Fax
| Phone: | 8448538937 |
| Fax: |