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

DR. MATTHEW RYAN WALL, D.D.S.

Active

DR. MATTHEW RYAN WALL, D.D.S. is a 1223D0004X healthcare provider located in MESA, Arizona. NPI 1629214820 is currently active in the NPPES registry. Verify at CMS.

1223D0004X · MESA, AZ

Registration Details

NPI Number
1629214820
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2008 (17.654685884455 yrs)
Last Updated
Jun 29, 2016
Licenses
57242 (CA)
D7990 (AZ)

Practice Information

Address
625 W SOUTHERN AVE STE E-145
MESA, AZ, 852105030
Browse AZ providers · Browse ZIP 85210
Phone
6027592131
Primary Specialty
1223D0004X
1223D0004X
Additional Specialty
1223D0004X

Other 1223D0004X Providers in MESA, AZ

Name Credential NPI
MARI CYNTHIA FUKAMI DMD 1811066541
DR. REUBEN NELSON TURNER D.D.S. 1184799538
DR. DONALD TUNE HOM DDS 1972678704
SPENCER K. WILDE DDS 1295893196
BRADLEY L FARR DDS 1962785097
DR. AARON LEGRAND ROBERTS D.M.D. 1972864528
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.