Individual provider · Type 1 NPI

Shannon Danielle Wall, DMD

General Practice Dentistry · Hazelwood, MO

NPI number 1366013930 Active

Practice location

8430 Pershall Rd
Hazelwood, MO 63042-3075

Call (314) 521-5678 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2021021159 (MO)

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 1366013930

Shannon Danielle Wall, DMD's National Provider Identifier is 1366013930, issued on Jul 6, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hazelwood, MO. The record was last updated on Jul 6, 2021.