Organization · Type 2 NPI

Charles C Wall DDS

General Practice Dentistry · Salt Lake City, UT

NPI number 1306060306 Active

Practice location

2200 East 4500 South, Suite 240
Salt Lake City, UT 84117

Call (801) 278-3864 Map

Fax (801) 278-3868

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X51343669922 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306060306

Charles C Wall DDS's National Provider Identifier is 1306060306, issued on Apr 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 22, 2008.