CHARLES COLEMAN WALL


Address: 2200 E 4500 S, Suite 240, Salt Lake City, UT 84117-4437
Phone: 8012783864

CHARLES COLEMAN WALL (NPI# 1376985655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376985655
Entity Type Individual
Full Name CHARLES COLEMAN WALL
Credential DDS
Practice Address 2200 E 4500 S
Suite 240
Salt Lake City
UT 84117-4437
Practice Telephone 8012783864
Practice Fax Number 8012783868
Mailing Telephone 8012783864
Mailing Fax Number 8012783868
Enumeration Date 2013-07-26
Last Update Date 2013-07-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 5134366-9922 UT Dental Providers

Other Providers CHARLES WALL

NPI Name Taxonomy Address Enumeration
1013178128 Charles Earl Wall Jr. Physician Assistant 1100 N College Ave, Fayetteville, AR 72703-1944 2008-06-20
1073717955 Charles Edward Wall Jr. Surgery 102 Doctors Park, Starkville, MS 39759 2007-06-13
1770792871 Charles Ray Wall Pharmacist 727 Memorial Dr, Bessemer, AL 35022-6029 2007-05-22
1164528725 Charles A. Wall Surgery 455 Grand Ave, South San Francisco, CA 94080-3635 2006-09-14

Office Location

Street Address 2200 E 4500 S
SUITE 240
City SALT LAKE CITY
State UT
Zip Code 84117-4437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619170867 Michael L. Stevens Dentist 2200 E 4500 S, Suite 250, Salt Lake City, UT 84117-4437 2007-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063052256 Abundant Dental Care, P.C. Dentist 1548 E 4500 S #104, Holladay, UT 84117 2020-01-15
1578127221 Signature Utah Dental Partners PC Clinic/Center 2240 E Murray Holladay Rd, Holladay, UT 84117 2019-04-29
1700392974 Marette Monson, LLC Community/Behavioral Health 2180 East 4500 South, Suite 105, Holladay City, UT 84117 2017-12-23
1942714639 Harmon City Inc Pharmacy 4675 South Holladay Blvd, Holladay, UT 84117 2017-11-17
1881119444 Brianna Stewart Physical Medicine & Rehabilitation 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 2017-08-04
1861842874 Whitney Aste Dentist 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 2016-06-21
1922403765 Tri-peak, Pllc Psychologist 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 2014-10-22
1356689566 Mckenzie Vierig Marriage & Family Therapist 4568 S Highland Dr Ste 380, Millcreek, UT 84117 2013-01-22
1821348640 Fabiola Marquez Jamieson Social Worker 4500 S 2180 E, Suite 165, Holladay, UT 84117 2012-09-19
1073882882 Amy Rose White Social Worker 4500 South 2180 East, Suite 165, Holladay, UT 84117 2011-12-22
Find all providers in zip 84117

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295335404 Ida Nourbakhsh Dentist 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 2020-10-27
1538796818 Andrew Phillips Dentist 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 2020-03-25
1710450655 Kelly D. Carroll D.d.s., PC Dentist 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142 2019-01-03
1730667031 Hm Salt Lake Dentist 7138 S Highland Dr Ste 214, Salt Lake City, UT 84121-3783 2018-07-30
1316430721 Kyle Perkins Dentist 268 W 400 S, Salt Lake City, UT 84101-1831 2018-06-11
1730634353 Kyle J Baldwin Dentist 4046 S Highland Dr, Ste #113, Salt Lake City, UT 84124-1673 2016-08-24
1780047670 Dane Parke Mullinax Dentist 831 S 700 E, Salt Lake City, UT 84102-3505 2016-03-30
1396105425 Michael Lee Vanleeuwen Dentist 6936 S Promenade Dr Ste 201, Salt Lake City, UT 84121-3365 2016-03-02
1831555168 Smile Dental Studio PC Dentist 1400 S Foothill Dr, Ste #36, Salt Lake City, UT 84108-2392 2015-12-31
1942697933 Jennifer Rose Dentist 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 2015-04-17
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84117

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Dataset Information

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.

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