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

DR. BRAD J WALL, DMD

Active

DR. BRAD J WALL, DMD is a General Dentistry healthcare provider located in MISSOULA, Montana. NPI 1619072444 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MISSOULA, MT

Registration Details

NPI Number
1619072444
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2006 (19.878639099534 yrs)
Last Updated
Jul 8, 2007
License
MT1999 (MT)

Practice Information

Address
1001 SW HIGGINS
SUITE 107
MISSOULA, MT, 59803
Browse MT providers · Browse ZIP 59803
Phone
4067286068
Fax
4068290868
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in MISSOULA, MT

Name Credential NPI
DR. ANNE MARGARET BREUM D.M.D. 1750386074
DR. ANDREW C ALTHAUSER DDS 1245278647
JASON E. HELMS D.M.D. 1841384849
DR. KEVIN A MILTKO DDS 1184706574
DR. MATTHEW L HEAPHY DDS 1063584829
DR. JASON C OLSEN D.D.S., P.C. 1073673190
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.