CHARLES C WALL DDS NPI 1306060306

NPI Information

  • NPI: 1306060306
  • Provider Name: CHARLES C WALL DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: WALL FAMILY DENTISTRY
  • Address: 2200 EAST 4500 SOUTH
    SUITE 240
    SALT LAKE CITY, UT
    ZIP 84117
  • Phone: (801) 278-3864

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NPI Details

CHARLES C WALL DDS is a general practice dentist in Salt Lake City, UT. 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. CHARLES C WALL DDS NPI is 1306060306. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wall Family Dentistry.

The provider's business location address is:

2200 EAST 4500 SOUTH
SUITE 240
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 278-3864
Fax: (801) 278-3868

The provider's authorized official is Charles C Wall .
The authorized official title is Owner and has the following contact phone number (801) 278-3864.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/22/2008.

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
11223G0001XDentistGeneral Practice51343669922UTAHYes

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: 11/21/2025

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