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DR. SHANNON DANIELLE WALL DMD
NPI 1366013930
Dentist - General Practice in Hazelwood, MO

Active since July 06, 2021
8430 PERSHALL RD, HAZELWOOD, MO 63042(314) 521-5678 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shannon Danielle Wall Dmd NPPES

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

DR. SHANNON DANIELLE WALL DMD (NPI 1366013930) is an individual general practice provider in Hazelwood, Missouri, licensed in Missouri (2021021159) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1366013930
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANNON DANIELLE WALLCredential: DMD
Location Address8430 PERSHALL RDHazelwood, MO 63042-3075
Mailing Address8430 Pershall RdHazelwood, MO 63042-3075 · (314) 521-5678 · Fax (314) 521-0283
Phone(314) 521-5678
Sole ProprietorNo
Enumeration DateJuly 6, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1366013930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2021021159
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.
8430 PERSHALL RD, Hazelwood, MO 63042
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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 and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. POOJA PATEL D.D.S.
Dentist (General Practice)
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 527-0159
WHITNEY HOLDENER DMD
Dentist (General Practice)
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 521-5678
DR. BRENT B SETIEN DDS
Dentist
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 521-5678
DR. BLAKE B. SETIEN DDS
Dentist
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 521-5678
HEBERT DMD, BROWN DMD & ASSOCIATES, LLC, DBA LIFESMILE DENTAL CARE
Clinic/Center (Dental)
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 521-5678
DR. KYLE P SHAPIRO DDS
Dentist
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 521-5678
DR. JONATHAN A. BROWN DMD
Dentist
8430 PERSHALL RD
HAZELWOOD, MO 63042
St. Louis County (314) 521-5678

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 Shannon Wall's NPI number?

The NPI number for Shannon Wall is 1366013930. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Shannon Wall located?

Shannon Wall practices at 8430 Pershall Rd, Hazelwood, MO 63042. The listed phone number is (314) 521-5678.

What is Shannon Wall's specialty?

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

What insurance does Shannon Wall accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Shannon 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 Shannon Wall was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.