EDWARD K WALL DDS - NPI 1144168550 - Dentist in San Rafael, CA

Q: What is Edward Wall's NPI number?

The NPI number for Edward Wall is 1144168550. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Q: What is Edward Wall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Wall was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

On this page

About Edward K Wall Dds NPPES

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

EDWARD K WALL DDS (NPI 1144168550) is an individual dentist in San Rafael, California, licensed in California (20980) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1144168550

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameEDWARD K WALLCredential: DDS

Location Address13 PETER BEHR DRSan Rafael, CA 94903-5216

Mailing Address13 Peter Behr DrSan Rafael, CA 94903-5216 · (415) 473-6651

Phone(415) 473-6651

Sole ProprietorNo

Enumeration DateMarch 24, 2026

NPPES CertifiedMarch 24, 2026

✔ NPI 1144168550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 20980

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.

13 PETER BEHR DR, San Rafael, CA 94903

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DANIELA ZUCCARELLO RN

Registered Nurse