Gary Wall

Pediatric Dentistry · Syracuse, UT

Individual Active NPI

NPI number 1760850523

Practice location

780 S 2000 W Ste F2
Syracuse, UT 84075-9609
Phone
(801) 776-8176

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NPI record

NPI
1760850523
Entity type
Individual (Type 1)
Enumeration date
September 10, 2015
Last updated
September 10, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 266402 UT

About Gary Wall

Gary Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 780 S 2000 W Ste F2, Syracuse, UT 84075-9609. The NPI number 1760850523 was assigned on September 10, 2015 and the record was last updated on September 10, 2015.

Gary Wall lists a license in the registry: #266402 (UT) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Wall?

The NPI number is 1760850523.

What is the phone number of Gary Wall?

The phone number listed for the practice location is (801) 776-8176.

Where is Gary Wall located?

780 S 2000 W Ste F2, Syracuse, UT 84075-9609.

What is the taxonomy code for Gary Wall?

The primary taxonomy code is 1223P0221X – Pediatric 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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