Search › Georgia › Oral 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 LlcInferred 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