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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TANYA C WALL, DDS

Active

DR. TANYA C WALL, DDS is a Pediatric Dentistry healthcare provider located in JACKSONVILLE, Florida. NPI 1063528586 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · JACKSONVILLE, FL

Registration Details

NPI Number
1063528586
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2006 (19.956503851595 yrs)
Last Updated
Jan 8, 2019
License
DN15601 (FL)

Practice Information

Address
2255 DUNN AVE
BLDG. 700
JACKSONVILLE, FL, 32218
Browse FL providers · Browse ZIP 32218
Phone
9047515126
Fax
9047515146
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in JACKSONVILLE, FL

Name Credential NPI
DR. MARGARET DEGGES ALEXANDER D.D.S. 1194710277
DR. RAUL PEREZ D.D.S. 1316935810
DR. ELAINE C. WAGNER D.D.S. 1366402042
DR. IVIS ALVAREZ D.M.D 1760408645
DR. MICHAEL DAVID SWITKES DDS 1609883172
DR. STACI SUGGS D.D.S. 1558477414
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.