Gerald Maynard Wall in Las Vegas - General Practice
Gerald Maynard Wall - NPI 1407921398
Gerald Maynard Wall is a General Practice in Las Vegas, Nevada. Gerald Maynard Wall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gerald Maynard Wall is 1407921398. The last update date is 2007-07-08.
Gerald Maynard Wall's current location address is 1811 S Rainbow Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7025625044 and fax number 7025623289. The mailing address for Gerald Maynard Wall is 1811 S Rainbow Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Maynard Wall |
|---|---|
| Address | 1811 S Rainbow Blvd, Las Vegas, Nevada |
| Phone Number | 7025625044 |
| Fax Number | 7025623289 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1407921398 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1811 S Rainbow Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891460894 |
| Phone Number | 7025625044 |
| Fax Number | 7025623289 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4543 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Gerald Maynard Wall by the Centers for Medicare & Medicaid Services?
The Gerald Maynard Wall has been assigned the NPI (National Provider Identifier) 1407921398 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gerald Maynard Wall is located?
The Gerald Maynard Wall is situated at the following address: 1811 S Rainbow Blvd, Las Vegas, NV, 891460894.
What is the area of specialization for Gerald Maynard Wall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gerald Maynard Wall is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407921398 to Gerald Maynard Wall?
The Centers for Medicare & Medicaid Services assigned the 1407921398 to Gerald Maynard Wall on 2006-11-24.
As of what date were the details related to Gerald Maynard Wall most recently updated or revised?
The information pertaining to Gerald Maynard Wall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.