Timothy Raymond Wall, DDS

General Practice Dentistry · Pewaukee, WI

Individual Active NPI

NPI number 1932255627

Practice location

250 Clark St
Pewaukee, WI 53072-3529
Phone
(262) 695-9392

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NPI record

NPI
1932255627
Entity type
Individual (Type 1)
Enumeration date
January 26, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3951-015 WI

About Dr. Wall

Timothy Raymond Wall, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 250 Clark St, Pewaukee, WI 53072-3529. The NPI number 1932255627 was assigned on January 26, 2007 and the record was last updated on July 8, 2007.

Dr. Wall lists a license in the registry: #3951-015 (WI) 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 Timothy Raymond Wall, DDS?

The NPI number is 1932255627.

What is the phone number of Dr. Wall?

The phone number listed for the practice location is (262) 695-9392.

Where is Dr. Wall located?

250 Clark St, Pewaukee, WI 53072-3529.

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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