1. Home
  2. Directory
  3. California
  4. Modesto
  5. Dentist
  6. NPI Profile

DR. DAVID A. WALLS, INC
NPI 1013882323
Dentist - Oral and Maxillofacial Surgery in Modesto, CA

Active since October 07, 2025
1316 COFFEE RD STE E14, MODESTO, CA 95355(209) 522-9963(209) 522-5184 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David A. Walls, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID A. WALLS, INC (NPI 1013882323) is a healthcare organization registered as an oral and maxillofacial surgery in Modesto, California and active in the NPI registry since October 2025. The organization lists Theresa K Sheppard, Business Assistant, as its authorized official.

NPPES Registry Identity

NPI1013882323
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDR. DAVID A. WALLS, INC
Location Address1316 COFFEE RD STE E14Modesto, CA 95355-3191
Mailing Address1316 Coffee Rd Ste E14Modesto, CA 95355-3191 · (209) 522-9963 · Fax (209) 522-5184
Phone(209) 522-9963
Fax(209) 522-5184
Organization SubpartNo
Authorized OfficialTheresa K SheppardBusiness Assistant · (209) 522-9963
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1013882323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1316 COFFEE RD STE E14, Modesto, CA 95355
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NILOOFAR DEYHIM DDS INC
Oral & Maxillofacial Surgery
1316 COFFEE RD STE E14
MODESTO, CA 95355
Stanislaus County (209) 522-9963
MERISSA RENEE APODACA OMAS
Dental Assistant
1316 COFFEE RD STE E14
MODESTO, CA 95355
Stanislaus County (209) 522-9936
APRIL N NELSON-EHLERS SURGICAL ASSISTANT
Dental Assistant
1316 COFFEE RD STE E14, DR ROLAND YOUNG
MODESTO, CA 95355
Stanislaus County (209) 522-9963
ROLAND I. YOUNG, DDS, INC.
Dentist (Oral and Maxillofacial Surgery)
1316 COFFEE RD STE E14
MODESTO, CA 95355
Stanislaus County (209) 522-9963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. David A. Walls, Inc's NPI number?

The NPI number for Dr. David A. Walls, Inc is 1013882323. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Dr. David A. Walls, Inc located?

Dr. David A. Walls, Inc is located at 1316 Coffee Rd Ste E14, Modesto, CA 95355. The listed phone number is (209) 522-9963.

What is Dr. David A. Walls, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dr. David A. Walls, Inc was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.