DR. MICHELLE ANNE WALL (NPI# 1104081447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104081447 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE ANNE WALL |
| Credential | D.D.S. |
| Practice Address |
255 N Gilbert St Suite C2 Hemet CA 92543-4066 |
| Practice Telephone | 9517664211 |
| Mailing Telephone | 9517664211 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
57243 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619195302 | Michelle Deanna Wall | Physician Assistant | 348 N South St, Mount Airy, NC 27030-3532 | 2007-04-20 |
| 1629626171 | Michelle Kristine Wall | Licensed Vocational Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2019-08-28 |
| 1366858748 | Michelle M Wall | Physical Therapist | 651 Nicollet Mall Ste 275, Minneapolis, MN 55402 | 2014-07-07 |
| 1730424623 | Michelle Wall | Occupational Therapist | 296 Hamburg Tpke, Wayne, NJ 07470-2150 | 2012-12-03 |
| 1104002716 | Michelle Dana Wall | Massage Therapist | 4601 Excelsior Blvd, 407, Saint Louis Park, MN 55416-4960 | 2008-01-14 |
| 1639186349 | Michelle Girouard Wall | Internal Medicine | 300 20th Ave N, 7th Floor, Nashville, TN 37203-2131 | 2006-08-02 |
| 1942258330 | Michelle Wall | Physical Therapist | 200 Newport Center Dr, #213, Newport Beach, CA 92660-7501 | 2006-05-05 |
| Street Address |
255 N GILBERT ST SUITE C2 |
| City | HEMET |
| State | CA |
| Zip Code | 92543-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268703 | David Joesph Mata | Family Medicine | 255 N Gilbert St, Bldg B Ste A, Hemet, CA 92543-4066 | 2006-03-08 |
| 1356695589 | Joseph Danesh Dds Inc. | Dentist | 255 N Gilbert St, Suite #a, Hemet, CA 92543-4066 | 2012-11-09 |
| 1437452539 | David J. Mata, M.d., Inc | Clinic/Center | 255 N Gilbert St, Building B, Suite A, Hemet, CA 92543-4066 | 2010-12-10 |
| 1154582518 | Joseph Danesh | Dentist | 255 N Gilbert St, Suite #a, Hemet, CA 92543-4066 | 2008-06-18 |
| 1063567352 | Ian Kiliona Pung | Dentist | 255 N Gilbert St, Bldg. C, Suite 4, Hemet, CA 92543-4066 | 2007-01-24 |
| 1528127842 | Springwood Podiatry Group | Durable Medical Equipment & Medical Supplies | 255 N Gilbert St, Bldg B, Hemet, CA 92543-4066 | 2006-12-06 |
| 1891879334 | Springwood Podiatry Group | Podiatrist | 255 N Gilbert St, Ste B-1, Hemet, CA 92543-4066 | 2006-10-24 |
| 1336249424 | Leonce M Arceneaux | Dentist | 255 N Gilbert St, Bulilding B, Hemet, CA 92543-4066 | 2006-09-25 |
| 1023029766 | Gary Lynn Baker | Anesthesiology | 255 N Gilbert St, Bldg B # B, Hemet, CA 92543-4066 | 2006-08-10 |
| 1609836543 | Robert Paul Drake | Podiatrist | 255 N Gilbert St, Suite B, Hemet, CA 92543 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730731555 | Claudie Pascal | Dentist | 2091 W Florida Ave Ste 250, Hemet, CA 92545-4800 | 2019-07-11 |
| 1881967644 | Debbie C. Tan, Dds, Inc. | Dentist | 475 W Stetson Ave, Suite #l, Hemet, CA 92543-7070 | 2012-02-09 |
| 1053575183 | Rajiv Garg | Dentist | 1284 E Latham Ave, Suite 5, Hemet, CA 92543-4445 | 2008-07-17 |
| 1235313701 | Nancy R Patel | Dentist | 1201 W Florida Ave, Hemet, CA 92543-3953 | 2007-12-19 |
| 1700071115 | Hart Family Dental | Dentist | 301 E Florida Ave, Suite A, Hemet, CA 92543-4253 | 2007-09-10 |
| 1295927275 | Soheil Khodadadi Dmd, Dds, Inc. | Dentist | 1300 E Florida Ave, Space #a20, Hemet, CA 92544-8640 | 2007-08-14 |
| 1013111780 | Ariel Fernandez | Dentist | 810 Saint John Pl, Hemet, CA 92543-4414 | 2007-06-14 |
| 1508074071 | Fratt Dental Corporation | Dentist | 2721 W Florida Avenue, Hemet, CA 92545 | 2007-05-18 |
| 1477699130 | Essam A Ibrahim | Dentist | 2585 W Florida Ave, Hemet, CA 92545-4615 | 2007-01-30 |
| 1124171335 | George H Gray | Dentist | 550 E. Latham, #1, Hemet, CA 92543 | 2007-01-19 |
| Find all providers in HEMET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.