Derek Heath Wall, DDS

General Practice Dentistry · Lynn Haven, FL

Individual Active NPI

NPI number 1518046606

Practice location

801 Ohio Avenue
Lynn Haven, FL 32444
Phone
(850) 265-3696

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NPI record

NPI
1518046606
Entity type
Individual (Type 1)
Enumeration date
November 2, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN14056 FL

About Dr. Wall

Derek Heath Wall, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 801 Ohio Avenue, Lynn Haven, FL 32444. The NPI number 1518046606 was assigned on November 2, 2006 and the record was last updated on July 8, 2007.

Dr. Wall lists a license in the registry: #DN14056 (FL) 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 Derek Heath Wall, DDS?

The NPI number is 1518046606.

What is the phone number of Dr. Wall?

The phone number listed for the practice location is (850) 265-3696.

Where is Dr. Wall located?

801 Ohio Avenue, Lynn Haven, FL 32444.

What is the taxonomy code for Dr. Wall?

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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