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DR. MATTHEW RYAN WALL D.D.S.
NPI 1629214820
Dentist - Dentist Anesthesiologist in Mesa, AZ

Active since December 18, 2008
625 W SOUTHERN AVE STE E-145, MESA, AZ 85210(602) 759-2131 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Ryan Wall D.d.s. NPPES

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

DR. MATTHEW RYAN WALL D.D.S. (NPI 1629214820) is an individual dentist anesthesiologist in Mesa, Arizona, licensed in Arizona (D7990) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1629214820
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameDR. MATTHEW RYAN WALLCredential: D.D.S.
Location Address625 W SOUTHERN AVE STE E-145Mesa, AZ 85210-5030
Mailing Address625 W Southern Ave Ste E-145Mesa, AZ 85210-5030 · (602) 759-2131
Phone(602) 759-2131
Sole ProprietorNo
Enumeration DateDecember 18, 2008
Last NPPES UpdateJune 29, 2016
✔ NPI 1629214820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in AZ · D7990
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentistTaxonomy 122300000X · License 57242 (CA)
625 W SOUTHERN AVE STE E-145, Mesa, AZ 85210
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Other Identifiers 1

Medicaid535955AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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.

SPENCER K. WILDE DDS
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 710-8081
DESERT STATE DENTAL ANESTHESIA, LLC
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 332-5541
BRADLEY L FARR DDS
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 332-0577

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 Matthew Wall's NPI number?

The NPI number for Matthew Wall is 1629214820. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Matthew Wall located?

Matthew Wall practices at 625 W Southern Ave Ste E-145, Mesa, AZ 85210. The listed phone number is (602) 759-2131.

What is Matthew Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Matthew Wall accept?

Health plans from Blue Cross Blue Shield of Arizona list Matthew 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 Matthew Wall was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.