Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON RYAN WALLIS, DMD
ActiveJON RYAN WALLIS, DMD is a Dentist healthcare provider located in CASA GRANDE, Arizona. NPI 1821510728 is currently active in the NPPES registry. Verify at CMS.
Dentist · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1821510728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2017 (9.0740846893246 yrs)
- Last Updated
- Jul 12, 2017
- License
-
D009781 (AZ)
Practice Information
- Address
-
2028 N TREKELL RD STE 107CASA GRANDE, AZ, 851221326Browse AZ providers · Browse ZIP 85122
- Phone
- 5208769955
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CASA GRANDE, AZ
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER PHILIP EHRBRIGHT | DDS | 1871669820 |
| DR. ALAN RAY HUNTER | DDS | 1477617769 |
| DR. BLAKE G. PARRY | D.M.D. | 1720122948 |
| MR. NAMNINDER S GRN | DMD | 1013137827 |
| DR. JEFFREY DEAN MITCHELL | D.D.S. | 1174721708 |
| DR. MONTE B WELLS | DDS | 1447441845 |
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.