Gary A Wall in Everett - Dentist

Gary A Wall - NPI 1821074527

Gary A Wall is a Dentist in Everett, Washington. Gary A Wall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary A Wall is 1821074527. The last update date is 2007-07-08.

Gary A Wall's current location address is 10627 19th Ave Se, Everett, Washington. You can contact this provider via phone number 4253376553 and fax number 4253858943. The mailing address for Gary A Wall is 10627 19th Ave Se, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary A Wall
Address 10627 19th Ave Se, Everett, Washington
Phone Number 4253376553
Fax Number 4253858943
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1821074527
Provider Enumeration Date 2005-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10627 19th Ave Se
City Everett
State Washington (WA)
Post Code 982085147
Phone Number 4253376553
Fax Number 4253858943

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8241
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Gary A Wall

What is the unique 10-digit identifier code assigned to Gary A Wall by the Centers for Medicare & Medicaid Services?

The Gary A Wall has been issued the NPI (National Provider Identifier) 1821074527 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Gary A Wall's facilities are situated?

The facilities of Gary A Wall are physically located at the following address: 10627 19Th Ave Se, Everett, WA, 982085147.

What is the Gary A Wall's area of specialization and corresponding taxonomy classification?

The Gary A Wall's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Gary A Wall receive the assignment of its 1821074527 from the Centers for Medicare & Medicaid Services?

The Gary A Wall was issued its 1821074527 by the Centers for Medicare & Medicaid Services on 2005-12-15.

When was the information related to Gary A Wall most recently updated or refreshed?

The details pertaining to the Gary A Wall, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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