Derek Wall, DDS

NPI 1518046606 · on the registry since 2006

Practice

Address: 801 Ohio Avenue
Lynn Haven, FL 32444
Phone: (850) 265-3696
Organisation at this address: Derek H. Wall Dds Pa
F. Reese Harrison, Dmd, Pa
Comfortable Care Dental Health Professionals, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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