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JUSTIN PETER WALL DMD
NPI 1720874753
Dentist - General Practice in Las Vegas, NV

Active since April 16, 2025
4235 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 505-9180 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Peter Wall Dmd NPPES

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

JUSTIN PETER WALL DMD (NPI 1720874753) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (8165) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1720874753
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJUSTIN PETER WALLCredential: DMD
Location Address4235 E CHARLESTON BLVDLas Vegas, NV 89104-6695
Mailing Address2039 Shadow Brook WayHenderson, NV 89074-4184 · (702) 370-6698
Phone(702) 505-9180
Sole ProprietorNo
Enumeration DateApril 16, 2025
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1720874753 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 · 8165
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.
4235 E CHARLESTON BLVD, Las Vegas, NV 89104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, HRI Dental & Vision and more.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.

MICHAEL DAVID ST LAURENT DMD
Dentist (General Practice)
4235 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (760) 521-3347
DAVID SCOTT JR.
Counselor (Mental Health)
4235 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 291-7121
4G DENTAL PARTNERS
Clinic/Center (Dental)
4235 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 456-0005

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 Justin Wall's NPI number?

The NPI number for Justin Wall is 1720874753. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Justin Wall located?

Justin Wall practices at 4235 E Charleston Blvd, Las Vegas, NV 89104. The listed phone number is (702) 505-9180.

What is Justin Wall's specialty?

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

What insurance does Justin Wall accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, HRI Dental & Vision, Humana and Paramount list Justin 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 Justin Wall was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.