DR. MATTHEW TYLER WALL DMD
NPI 1083247209
Dentist - General Practice in Aiken, SC

Q: What is Matthew Wall's NPI number?

The NPI number for Matthew Wall is 1083247209. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Q: What is Matthew Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Wall was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since February 17, 2020

174 CREPE MYRTLE DR, AIKEN, SC 29803(803) 641-3883 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Feb 16, 2022, Aug 22, 2021 and 2 more (5 updates tracked since 2020).

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About Dr. Matthew Tyler Wall Dmd NPPES

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

DR. MATTHEW TYLER WALL DMD (NPI 1083247209) is an individual general practice provider in Aiken, South Carolina, licensed in South Carolina (DGD.9871GD) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1083247209

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MATTHEW TYLER WALLCredential: DMD

Location Address174 CREPE MYRTLE DRAiken, SC 29803-7543

Mailing Address174 Crepe Myrtle DrAiken, SC 29803-7543 · (803) 641-3883

Phone(803) 641-3883

Sole ProprietorYes

Enumeration DateFebruary 17, 2020

Last NPPES UpdateMay 10, 20225 updates tracked since enumeration

NPPES CertifiedMay 10, 2022

✔ NPI 1083247209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in SC · DGD.9871GD✔ Licensed in GA · DN016114

Definition

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.

174 CREPE MYRTLE DR, Aiken, SC 29803

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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 Matthew Wall's NPI number?

The NPI number for Matthew Wall is 1083247209. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Matthew Wall located?

Matthew Wall practices at 174 Crepe Myrtle Dr, Aiken, SC 29803. The listed phone number is (803) 641-3883.

What is Matthew Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Matthew Wall accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Matthew Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Wall was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.