Wm.Henry Wall in Norcross - Oral And Maxillofacial Surgery

Wm.Henry Wall - NPI 1215108220

Wm.Henry Wall is a Oral And Maxillofacial Surgery in Norcross, Georgia. Wm.Henry Wall practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Wm.Henry Wall is 1215108220. The last update date is 2008-03-18.

Wm.Henry Wall's current location address is 5139 Jimmy Carter Blvd Ste 201, Norcross, Georgia. You can contact this provider via phone number 7704480966 and fax number 7704488549. The mailing address for Wm.Henry Wall is 5139 Jimmy Carter Blvd Ste 201, Norcross, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wm.Henry Wall
Address 5139 Jimmy Carter Blvd Ste 201, Norcross, Georgia
Phone Number 7704480966
Fax Number 7704488549
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Wall H. William
Credentials D.D.S.
Telephone Number 7704480966

NPI Number Detail

NPI Number 1215108220
Provider Enumeration Date 2008-03-18
Last Updated Date 2008-03-18

Provider Mailing Address Detail

Address 5139 Jimmy Carter Blvd Ste 201
City Norcross
State Georgia (GA)
Post Code 300931638
Phone Number 7704480966
Fax Number 7704488549

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DN006817
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Wm.Henry Wall

What is the unique 10-digit identifier code issued to Wm.Henry Wall by the Centers for Medicare & Medicaid Services?

The Wm.Henry Wall has been assigned the NPI (National Provider Identifier) 1215108220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Wm.Henry Wall is physically located?

The Wm.Henry Wall is situated at the following address: 5139 Jimmy Carter Blvd Ste 201, Norcross, GA 300931638.

What is Wm.Henry Wall's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wm.Henry Wall's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.

On what date was the 1215108220 assigned to Wm.Henry Wall?

The Wm.Henry Wall was issued its 1215108220 on 2008-03-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Wm.Henry Wall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wm.Henry Wall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-18.

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