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DR. GERALD MAYNARD WALL D.D.S.
NPI 1407921398
Dentist - General Practice in Las Vegas, NV

Active since November 24, 2006
1811 S RAINBOW BLVD, SUITE 101, LAS VEGAS, NV 89146(702) 562-5044(702) 562-3289 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerald Maynard Wall D.d.s. NPPES

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

DR. GERALD MAYNARD WALL D.D.S. (NPI 1407921398) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (4543) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1407921398
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GERALD MAYNARD WALLCredential: D.D.S.
Location Address1811 S RAINBOW BLVD, SUITE 101Las Vegas, NV 89146-0894
Mailing Address1811 S Rainbow Blvd, Suite 101Las Vegas, NV 89146-0894 · (702) 562-5044 · Fax (702) 562-3289
Phone(702) 562-5044
Fax(702) 562-3289
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407921398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 4543
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.
1811 S RAINBOW BLVD, Las Vegas, NV 89146
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Other Providers at the Same Location NPPES 2

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

AFFINITY DENTAL
Clinic/Center (Dental)
1811 S RAINBOW BLVD, SUITE 101
LAS VEGAS, NV 89146
Clark County (702) 562-5044
DR. GREGORY EDWARDS DDS
Dentist (General Practice)
1811 S RAINBOW BLVD, STE 208
LAS VEGAS, NV 89146
Clark County (702) 433-2489

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 Gerald Wall's NPI number?

The NPI number for Gerald Wall is 1407921398. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Gerald Wall located?

Gerald Wall practices at 1811 S Rainbow Blvd Suite 101, Las Vegas, NV 89146. The listed phone number is (702) 562-5044.

What is Gerald Wall'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 Gerald 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.