CHARLES COLEMAN WALL DDS
NPI 1376985655
Dentist in Salt Lake City, UT

Active since July 26, 2013
2200 E 4500 S, SUITE 240, SALT LAKE CITY, UT 84117(801) 278-3864(801) 278-3868 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Coleman Wall Dds NPPES

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

CHARLES COLEMAN WALL DDS (NPI 1376985655) is an individual dentist in Salt Lake City, Utah, licensed in Utah (5134366-9922) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1376985655
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCHARLES COLEMAN WALLCredential: DDS
Location Address2200 E 4500 S, SUITE 240Salt Lake City, UT 84117-4437
Mailing Address2200 E 4500 S, Suite 240Salt Lake City, UT 84117-4437 · (801) 278-3864 · Fax (801) 278-3868
Fax(801) 278-3868
Sole ProprietorYes
Enumeration DateJuly 26, 2013
NPI 1376985655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in UT · 5134366-9922
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.
2200 E 4500 S, Salt Lake City, UT 84117

Accepted Insurance

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.

Chiropractor
2200 E 4500 S, STE 110
HOLLADAY, UT 84117
Dentist (Orthodontics and Dentofacial Orthopedics)
2200 E 4500 S, SUITE 250
SALT LAKE CITY, UT 84117
Dentist
2200 E 4500 S, SUITE 100
HOLLADAY, UT 84117
Social Worker (Clinical)
2200 E 4500 S, SUITE 200
HOLLADAY, UT 84117

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 Charles Wall's NPI number?

The NPI number for Charles Wall is 1376985655. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Where is Charles Wall located?

Charles Wall practices at 2200 E 4500 S Suite 240, Salt Lake City, UT 84117. The listed phone number is (801) 278-3864.

What is Charles Wall's specialty?

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

What insurance does Charles Wall accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 7 other insurers list Charles 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 Charles Wall was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.