DR. ERIC BOLES WALL DDS
NPI 1366479230
Dentist - Oral and Maxillofacial Surgery in Stockton, CA

Q: What is Eric Wall's NPI number?

The NPI number for Eric Wall is 1366479230. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Eric Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Eric Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 27, 2006

6529 INGLEWOOD AVE, A-1, STOCKTON, CA 95207(209) 473-3788(209) 473-2775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Eric Boles Wall Dds NPPES

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

DR. ERIC BOLES WALL DDS (NPI 1366479230) is an individual oral and maxillofacial surgery provider in Stockton, California, licensed in California (26796) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366479230

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ERIC BOLES WALLCredential: DDS

Location Address6529 INGLEWOOD AVE, A-1Stockton, CA 95207-3864

Mailing Address6529 Inglewood Ave, A-1Stockton, CA 95207-3864 · (209) 473-3788 · Fax (209) 473-2775

Phone(209) 473-3788

Fax(209) 473-2775

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366479230 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 CA · 26796

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.

6529 INGLEWOOD AVE, Stockton, CA 95207

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Other Providers at the Same Location NPPES 3

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

DR. JOHN E BLADES DDS

Dentist

6529 INGLEWOOD AVE, SUITE B2
STOCKTON, CA 95207

San Joaquin County (209) 957-5885

DR. MICHAEL ROBERT PANZER DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

6529 INGLEWOOD AVE, B-4
STOCKTON, CA 95207

San Joaquin County (209) 478-2503

FRANKLIN DENTAL INC

Dentist

6529 INGLEWOOD AVE, B-2
STOCKTON, CA 95207

San Joaquin County (209) 957-5885

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 Eric Wall's NPI number?

The NPI number for Eric Wall is 1366479230. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Eric Wall located?

Eric Wall practices at 6529 Inglewood Ave A-1, Stockton, CA 95207. The listed phone number is (209) 473-3788.

What is Eric 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 Eric Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.