Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY WALL
Active Sole ProprietorGARY WALL is a Pediatric Dentistry healthcare provider located in SYRACUSE, Utah. NPI 1760850523 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SYRACUSE, UT
Registration Details
- NPI Number
- 1760850523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2015 (10.924810665202 yrs)
- Last Updated
- Sep 10, 2015
- License
-
266402 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
780 S 2000 W STE F2SYRACUSE, UT, 840759609Browse UT providers · Browse ZIP 84075
- Phone
- 8017768176
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SYRACUSE, UT
| Name | Credential | NPI |
|---|---|---|
| DR. STEVE HIBBERT | D.D.S. | 1497945711 |
| DR. TATE AUSTIN TRUJILLO | DDS | 1255891511 |
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.