RICHARD WALLS DMDPC NPI 1982979753

NPI Information

  • NPI: 1982979753
  • Provider Name: RICHARD WALLS, DMD,PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 2155 POST OAK TRITT RD
    SUITE 500
    MARIETTA, GA
    ZIP 30062
  • Phone: (770) 973-1738

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NPI Details

RICHARD WALLS, DMD,PC is an oral and maxillofacial surgery dentist in Marietta, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. RICHARD WALLS, DMD,PC NPI is 1982979753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2155 POST OAK TRITT RD
SUITE 500
MARIETTA, GA
ZIP 30062-620
Phone: (770) 973-1738

The provider's authorized official is Richard D Walls .
The authorized official title is Owner and has the following contact phone number (770) 973-1738.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.

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
11223S0112XDentistOral and Maxillofacial SurgeryDN010062GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119NCBCZMEDICARE PINGEORGIA
2U25497MEDICARE UPINGEORGIA

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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