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

DR. DEREK HEATH WALL, DDS

Active

DR. DEREK HEATH WALL, DDS is a General Dentistry healthcare provider located in LYNN HAVEN, Florida. NPI 1518046606 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LYNN HAVEN, FL

Registration Details

NPI Number
1518046606
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2006 (19.600766664547 yrs)
Last Updated
Jul 8, 2007
License
DN14056 (FL)

Practice Information

Address
801 OHIO AVENUE
LYNN HAVEN, FL, 32444
Browse FL providers · Browse ZIP 32444
Phone
8502653696
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in LYNN HAVEN, FL

Name Credential NPI
DR. MICHAEL S GRANDY DMD 1659417590
DR. DANIEL G MELZER DMD 1558407387
DR. ARNOLD C GANGWISCH DMD 1306983580
DR. JOSEPH MARK GERLECZ D.D.S. 1487877163
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.