Individual provider · Type 1 NPI
Matthew Ryan Wall, DDS
Dental Anesthesiology · Mesa, AZ
Practice location
625 W Southern Ave Ste E-145
Mesa, AZ 85210-5030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 57242 (CA) |
| Dental Anesthesiology Primary | 1223D0004X | D7990 (AZ) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
3 other providers at this address
Other dental anesthesiology providers in Mesa
- Scott Joseph Lombardi, DDSDental Anesthesiology Mesa, AZ NPI 1033746045
- Reuben Nelson Turner, DDSDental Anesthesiology Mesa, AZ NPI 1184799538
- Spencer K. Wilde, DDSDental Anesthesiology Mesa, AZ NPI 1295893196
- Mari Cynthia Fukami, DMDDental Anesthesiology Mesa, AZ NPI 1811066541
- Bradley L. Farr, DDSDental Anesthesiology Mesa, AZ NPI 1962785097
- Donald Tune Hom, DDSDental Anesthesiology Mesa, AZ NPI 1972678704
- Aaron Legrand Roberts, DMDDental Anesthesiology Mesa, AZ NPI 1972864528
About NPI 1629214820
Matthew Ryan Wall, DDS's National Provider Identifier is 1629214820, issued on Dec 18, 2008. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Mesa, AZ. The record was last updated on Jun 29, 2016.