Judson B. B. Wall, DDS

General Practice Dentistry · Bountiful, UT

Individual Active NPI

NPI number 1992884118

Practice location

460 S 400 E
Bountiful, UT 84010-4975
Phone
(801) 298-1812
Fax
(801) 298-4043

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NPI record

NPI
1992884118
Entity type
Individual (Type 1)
Enumeration date
November 6, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4778458-9922 UT

About Dr. Wall

Judson B. B. Wall, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 460 S 400 E, Bountiful, UT 84010-4975. The NPI number 1992884118 was assigned on November 6, 2006 and the record was last updated on July 8, 2007.

Dr. Wall lists a license in the registry: #4778458-9922 (UT) 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 Judson B. B. Wall, DDS?

The NPI number is 1992884118.

What is the phone number of Dr. Wall?

The phone number listed for the practice location is (801) 298-1812.

Where is Dr. Wall located?

460 S 400 E, Bountiful, UT 84010-4975.

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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