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

DR. MATTHEW TYLER WALL, DMD

Active Sole Proprietor

DR. MATTHEW TYLER WALL, DMD is a General Dentistry healthcare provider located in AIKEN, South Carolina. NPI 1083247209 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · AIKEN, SC

Registration Details

NPI Number
1083247209
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2020 (6.5012344131071 yrs)
Last Updated
May 10, 2022
Licenses
DN016114 (GA)
DGD.9871GD (SC)
Sole Proprietor
Yes

Practice Information

Address
174 CREPE MYRTLE DR
AIKEN, SC, 298037543
Browse SC providers · Browse ZIP 29803
Phone
8036413883
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in AIKEN, SC

Name Credential NPI
DR. FRED LIVINGSTON BAKER JR. D.M.D. 1720081276
DR. FRANK LOUDERMILK DMD 1740230101
S TAYLOR GARNETT D.D.S 1841210465
LEAH B WILKINS 1982611430
DR. CHARLES EDWARD WYONT D.M.D., P.A. 1083722391
DR. GEORGE I CRAWFORD DMD 1912083163
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.