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JESSERWALLDDSPA
NPI 1104090067
Dentist in Danville, VA

Active since April 22, 2008
1045 MAIN ST, SUITE 6, DANVILLE, VA 24541(434) 792-8622 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesserwallddspa NPPES

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

JESSERWALLDDSPA (NPI 1104090067) is a healthcare organization registered as a dentist in Danville, Virginia and active in the NPI registry since April 2008. The organization lists Jesse Wall, President, as its authorized official.

NPPES Registry Identity

NPI1104090067
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJESSERWALLDDSPA
Location Address1045 MAIN ST, SUITE 6Danville, VA 24541-1800
Mailing Address1045 Main St, Suite 6Danville, VA 24541-1800 · (434) 792-8622
Phone(434) 792-8622
Organization SubpartNo
Authorized OfficialJesse WallPresident · (434) 792-1512
Enumeration DateApril 22, 2008
✔ NPI 1104090067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 5098
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1045 MAIN ST, Danville, VA 24541
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Other Identifiers 1

Other5098VA · Va Boardof Dentistry

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 18

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

CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC
Day Training, Developmentally Disabled Services
1045 MAIN ST, SUITE 4
DANVILLE, VA 24541
Danville City (434) 984-0023
MR. GENE PRESTON SMITH LCAS
Counselor (Addiction (Substance Use Disorder))
1045 MAIN ST, STE.3
DANVILLE, VA 24541
Danville City (434) 822-6600
SHELBY KAITLIN VAUGHAN
Counselor (Professional)
1045 MAIN ST
DANVILLE, VA 24541
Danville City (434) 835-4765
STEFANIE TRICKLER SHELDON LPC
Counselor (Mental Health)
1045 MAIN ST
DANVILLE, VA 24541
Danville City (434) 792-2277
CARDIOLOGY CLINIC
General Acute Care Hospital (Rural)
1045 MAIN ST, SUITE 1
DANVILLE, VA 24541
Danville City (434) 792-4400
MINDI PERRY
Social Worker (Clinical)
1045 MAIN ST, SUITE 4
DANVILLE, VA 24541
Danville City (434) 984-0023
CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC
Counselor
1045 MAIN ST, SUITE 4
DANVILLE, VA 24541
Danville City (434) 984-0023
JESSICA HODGES
Behavior Technician
1045 MAIN ST
DANVILLE, VA 24541
Danville City (434) 549-5223

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 Jesserwallddspa's NPI number?

The NPI number for Jesserwallddspa is 1104090067. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Jesserwallddspa located?

Jesserwallddspa is located at 1045 Main St Suite 6, Danville, VA 24541. The listed phone number is (434) 792-8622.

What is Jesserwallddspa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jesserwallddspa was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.