Robert E Wall DDS, PC

General Practice Dentistry · Madison, IN

Organization Active NPI

NPI number 1255402665

Practice location

753 W Main St
Madison, IN 47250-3150
Phone
(812) 265-5962
Fax
(812) 273-1085

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NPI record

NPI
1255402665
Entity type
Organization (Type 2)
Enumeration date
November 10, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12007187 IN

Authorized official

Name
Robert E Wall, DDS
Title
Owner
Phone
(812) 265-5962

About Robert E Wall DDS, PC

Robert E Wall DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 753 W Main St, Madison, IN 47250-3150. The NPI number 1255402665 was assigned on November 10, 2006 and the record was last updated on August 22, 2020.

Robert E Wall DDS, PC lists a license in the registry: #12007187 (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Robert E Wall, DDS, Owner.

Frequently asked questions

What is the NPI number of Robert E Wall DDS, PC?

The NPI number is 1255402665.

What is the phone number of Robert E Wall DDS, PC?

The phone number listed for the practice location is (812) 265-5962.

Where is Robert E Wall DDS, PC located?

753 W Main St, Madison, IN 47250-3150.

What is the taxonomy code for Robert E Wall DDS, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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