WM.HENRY WALL
NPI 1215108220
Dentist - Oral and Maxillofacial Surgery in Norcross, GA

Active since March 18, 2008
5139 JIMMY CARTER BLVD STE 201, NORCROSS, GA 30093(770) 448-0966(770) 448-8549 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Wm.henry Wall NPPES

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

WM.HENRY WALL (NPI 1215108220) is a healthcare organization registered as an oral and maxillofacial surgery in Norcross, Georgia and active in the NPI registry since March 2008. The organization lists William H. Wall, Dentist, as its authorized official.

NPPES Registry Identity

NPI1215108220
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWM.HENRY WALL
Location Address5139 JIMMY CARTER BLVD STE 201Norcross, GA 30093-1638
Mailing Address5139 Jimmy Carter Blvd Ste 201Norcross, GA 30093-1638 · (770) 448-0966 · Fax (770) 448-8549
Fax(770) 448-8549
Organization SubpartNo
Authorized OfficialWilliam H. WallDentist · (770) 448-0966
Enumeration DateMarch 18, 2008
NPI 1215108220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in GA · DN006817
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.
5139 JIMMY CARTER BLVD STE 201, Norcross, GA 30093

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

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

Dentist (Oral and Maxillofacial Pathology)
5139 JIMMY CARTER BLVD STE 201
NORCROSS, GA 30093

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 Wm.Henry Wall's NPI number?

The NPI number for Wm.Henry Wall is 1215108220. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Wm.Henry Wall located?

Wm.Henry Wall is located at 5139 Jimmy Carter Blvd Ste 201, Norcross, GA 30093. The listed phone number is (770) 448-0966.

What is Wm.Henry Wall'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 Wm.Henry Wall was last updated on March 18, 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.