DR. MATTHEW TYLER WALL DMD NPI 1083247209

NPI Information

NPI: 1083247209
Provider Name: DR. MATTHEW TYLER WALL, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
174 CREPE MYRTLE DR
AIKEN, SC
ZIP 29803
Phone: (803) 641-3883
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DR. Matthew Tyler Wall, DMD is a general practice dentist in Aiken, SC. The provider is 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. DR. Matthew Tyler Wall, DMD NPI is 1083247209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

174 CREPE MYRTLE DR
AIKEN, SC
ZIP 29803-543
Phone: (803) 641-3883

The enumeration date for this NPI number is 2/17/2020 and was last updated on 2/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DN016114	GEORGIA	No
2	1223G0001X	Dentist	General Practice	DGD.9871GD	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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