Charles C Wall Dds in Salt Lake City - General Practice
Charles C Wall Dds - NPI 1306060306
Charles C Wall Dds is a General Practice in Salt Lake City, Utah. Charles C Wall Dds practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles C Wall Dds is 1306060306. The last update date is 2008-07-22.
Charles C Wall Dds's current location address is 2200 East 4500 South, Salt Lake City, Utah. You can contact this provider via phone number 8012783864 and fax number 8012783868. The mailing address for Charles C Wall Dds is 2200 East 4500 South, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles C Wall Dds |
|---|---|
| Address | 2200 East 4500 South, Salt Lake City, Utah |
| Phone Number | 8012783864 |
| Fax Number | 8012783868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wall C Charles |
| Credentials | DDS |
| Telephone Number | 8012783864 |
NPI Number Detail
| NPI Number | 1306060306 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 2200 East 4500 South |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84117 |
| Phone Number | 8012783864 |
| Fax Number | 8012783868 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 51343669922 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Charles C Wall Dds by the Centers for Medicare & Medicaid Services?
The Charles C Wall Dds has been assigned the NPI (National Provider Identifier) 1306060306. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charles C Wall Dds's facilities are situated?
The facilities of Charles C Wall Dds are physically located at the following address: 2200 East 4500 South, Salt Lake City, UT, 84117.
What is Charles C Wall Dds's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles C Wall Dds is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306060306 to Charles C Wall Dds?
The Centers for Medicare & Medicaid Services originally issued the 1306060306 to Charles C Wall Dds on 2007-04-12.
As of what date were the details pertaining to Charles C Wall Dds last refreshed?
The information related to the Charles C Wall Dds, including its address, specialty, and other relevant details, was last updated on 2008-07-22.