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

DR. MATTHEW WALLS, D.D.S.

Active Sole Proprietor

DR. MATTHEW WALLS, D.D.S. is a General Dentistry healthcare provider located in COWETA, Oklahoma. NPI 1770639981 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · COWETA, OK

Registration Details

NPI Number
1770639981
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2007 (19.548451125271 yrs)
Last Updated
Mar 30, 2009
Licenses
D5393 (OK)
D8106 (OR)
Sole Proprietor
Yes

Practice Information

Address
12627 S HIGHWAY 51
COWETA, OK, 744296476
Browse OK providers · Browse ZIP 74429
Phone
9184860039
Fax
9184860097
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in COWETA, OK

Name Credential NPI
DENNIS LEO WALLIS DDS 1710064563
GARY C DAVIDSON DDS 1952472839
DR. GREGORY WADE JOHNSON D.D.S 1568671873
DR. CHAD MONROE REID D.D.S. 1427258342
TAYLOR BONNEWITZ 1679424055
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.