Individual provider · Type 1 NPI
Justin Peter Wall, DMD
General Practice Dentistry · Las Vegas, NV
NPI number
1720874753
Active
Practice location
4235 E Charleston Blvd
Las Vegas, NV 89104-6695
Mailing address
2039 Shadow Brook Way
Henderson, NV 89074-4184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 8165 (NV) |
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.
3 other providers at this address
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About NPI 1720874753
Justin Peter Wall, DMD's National Provider Identifier is 1720874753, issued on Apr 16, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on May 5, 2025.