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JON RYAN WALLIS DMD
NPI 1821510728
Dentist in Casa Grande, AZ

Active since July 12, 2017
2028 N TREKELL RD STE 107, CASA GRANDE, AZ 85122(520) 876-9955 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jon Ryan Wallis Dmd NPPES

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

JON RYAN WALLIS DMD (NPI 1821510728) is an individual dentist in Casa Grande, Arizona, licensed in Arizona (D009781) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1821510728
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJON RYAN WALLISCredential: DMD
Location Address2028 N TREKELL RD STE 107Casa Grande, AZ 85122-1326
Mailing Address3809 E Yeager DrGilbert, AZ 85295-1613 · (520) 424-1955
Phone(520) 876-9955
Sole ProprietorNo
Enumeration DateJuly 12, 2017
✔ NPI 1821510728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D009781
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.
2028 N TREKELL RD STE 107, Casa Grande, AZ 85122
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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, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. TYSON ARCHER DAVIS DDS
Dentist (General Practice)
2028 N TREKELL RD STE 107
CASA GRANDE, AZ 85122
Pinal County (520) 876-9955

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 Jon Wallis's NPI number?

The NPI number for Jon Wallis is 1821510728. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Jon Wallis located?

Jon Wallis practices at 2028 N Trekell Rd Ste 107, Casa Grande, AZ 85122. The listed phone number is (520) 876-9955.

What is Jon Wallis's specialty?

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

What insurance does Jon Wallis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jon Wallis 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 Jon Wallis was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.