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DEREK H. WALL DDS PA
NPI 1255563946
Dentist - General Practice in Lynn Haven, FL

Active since August 14, 2009
801 OHIO AVE, LYNN HAVEN, FL 32444(850) 265-3696(850) 265-2699 Get Directions Write a Review

NPPES record last updated: August 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek H. Wall Dds Pa NPPES

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

DEREK H. WALL DDS PA (NPI 1255563946) is a healthcare organization registered as a general practice in Lynn Haven, Florida and active in the NPI registry since August 2009. The organization lists Derek Heath Wall Dds Pa, President, as its authorized official.

NPPES Registry Identity

NPI1255563946
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEREK H. WALL DDS PA
Location Address801 OHIO AVELynn Haven, FL 32444-2351
Mailing Address801 Ohio AveLynn Haven, FL 32444-2351 · (850) 265-3696 · Fax (850) 265-2699
Phone(850) 265-3696
Fax(850) 265-2699
Organization SubpartNo
Authorized OfficialDerek Heath Wall Dds PaPresident · (850) 265-3696
Enumeration DateAugust 14, 2009
✔ NPI 1255563946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN14056
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.
801 OHIO AVE, Lynn Haven, FL 32444
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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.

DIANA O ARIAS
Dentist
801 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-9593
F. REESE HARRISON, DMD, PA
Dentist (General Practice)
801 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-9593
MARSHALL POWELL DMD
Dentist (General Practice)
801 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-3696
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Dentist (General Practice)
801 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-9593

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 Derek H. Wall Dds PA's NPI number?

The NPI number for Derek H. Wall Dds PA is 1255563946. It was assigned to this organization in the NPPES registry on August 14, 2009.

Where is Derek H. Wall Dds PA located?

Derek H. Wall Dds PA is located at 801 Ohio Ave, Lynn Haven, FL 32444. The listed phone number is (850) 265-3696.

What is Derek H. Wall Dds PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Derek H. Wall Dds PA was last updated on August 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.