SearchGeorgiaOral and Maxillofacial Pathology Dentistry

William Wall, D.D.S

NPI 1891880720 · on the registry since 2006 · sole proprietor

Practice

Address
5139 Jimmy Carter Blvd Ste 201
Norcross, GA 30093
Phone
(770) 448-0966
Fax
(770) 448-8549
Organisation at this address
Wm.Henry Wall
Centro Medico San Antonio Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Oral and Maxillofacial Pathology Dentistry
1223P0106X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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 Georgia