Brent Wall, DDS

NPI 1497804637 · on the registry since 2007

Practice

Address: 900 Thomas Dr
Panama City Beach, FL 32408
Phone: (850) 249-9311
Organisation at this address: Emerald Coast Dental Spa
Emerald Coast Dental Sleep Medicine Inc
Great Florida Smiles & Orthodontics Pbc, Pllc
Inferred from a shared address, not stated in the registry.

Additional practice sites

9696 Braun Road, San Antonio, TX
6757 Us Highway 98 W Ste 301, Santa Rosa Beach, FL

Registry record

Primary taxonomy: 122300000X
122300000X
Also registered as: 1223G0001X
Licence states on file: TX, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida