Brent Wall, DDS

Dentist · Panama City Beach, FL

Individual Active NPI

NPI number 1497804637

Practice location

900 Thomas Dr
Panama City Beach, FL 32408-7442
Phone
(850) 249-9311

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NPI record

NPI
1497804637
Entity type
Individual (Type 1)
Enumeration date
January 9, 2007
Last updated
October 12, 2023
Certified
October 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN28186 FL
General Practice Dentistry 1223G0001X 19733 TX

Mailing address

9696 Braun Road
San Antonio, TX 78254
Phone
(210) 523-9696
Fax
(210) 684-9600

Other practice locations (2)

  • 9696 Braun Road, San Antonio, TX 78254 · (210) 523-9696
  • 6757 US Highway 98 W Ste 301, Santa Rosa Beach, FL 32459-4780 · (850) 622-5888

About Dr. Wall

Brent Wall, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 900 Thomas Dr, Panama City Beach, FL 32408-7442. The NPI number 1497804637 was assigned on January 9, 2007 and the record was last updated on October 12, 2023.

Dr. Wall lists 2 licenses in the registry: #DN28186 (FL) for Dentist; #19733 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brent Wall, DDS?

The NPI number is 1497804637.

What is the phone number of Dr. Wall?

The phone number listed for the practice location is (850) 249-9311.

Where is Dr. Wall located?

900 Thomas Dr, Panama City Beach, FL 32408-7442.

What is the taxonomy code for Dr. Wall?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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