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

CHARLES COLEMAN WALL, DDS

Active Sole Proprietor

CHARLES COLEMAN WALL, DDS is a Dentist healthcare provider located in SALT LAKE CITY, Utah. NPI 1376985655 is currently active in the NPPES registry. Verify at CMS.

Dentist · SALT LAKE CITY, UT

Registration Details

NPI Number: 1376985655
Provider Type: Individual
Gender: Male
NPI Issued: Jul 26, 2013 (13.00810744537 yrs)
Last Updated: Jul 26, 2013
License: 5134366-9922 (UT)
Sole Proprietor: Yes

Practice Information

Address: 2200 E 4500 S

SUITE 240

SALT LAKE CITY, UT, 841174437
Browse UT providers · Browse ZIP 84117
Phone: 8012783864
Fax: 8012783868
Primary Specialty: Dentist
122300000X

Other Dentist Providers in SALT LAKE CITY, UT

Name	Credential	NPI
DR. JAMES MCCONKIE WRIGHT	DDS	1235118688
DR. ASHLEY TRACZEWITZ ROACH	D.M.D.	1114974292
DR. JERRY BECK BLACK	D.D.S.	1124062872
DR. SCOTT PAUL COLD	D.D.S.	1972549418
MR. DAVID O SMITH	D.M.D.	1265458046
THOMAS R LIDDELL	D.D.S	1104845890

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.