Individual provider · Type 1 NPI

Edward K. Wall, DDS

Dentist · San Rafael, CA

NPI number 1144168550 Active

Practice location

13 Peter Behr Dr
San Rafael, CA 94903-5216

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	20980 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1144168550

Edward K. Wall, DDS's National Provider Identifier is 1144168550, issued on Mar 24, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Rafael, CA. The record was last updated on Mar 24, 2026.