DR. MARIE BANDY WALL (NPI# 1407817174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407817174 |
| Entity Type | Individual |
| Full Name | DR. MARIE BANDY WALL |
| Credential | DMD |
| Practice Address |
2410 Stanley Rd Dentac Suite 200j Fort Sam Houston TX 78234-7529 |
| Practice Telephone | 2102952743 |
| Practice Fax Number | 2102952602 |
| Mailing Telephone | 2102952743 |
| Mailing Fax Number | 2102952602 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN012525 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730518713 | Marie Wall | Advanced Practice Midwife | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2013-11-11 |
| Street Address |
2410 STANLEY RD DENTAC SUITE 200J |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643482 | Ann Sue Von Gonten | Dentist | 2410 Stanley Rd, Us Army Dental Activity, Suite 200j, Fort Sam Houston, TX 78234-6230 | 2005-10-21 |
| 1548420375 | Paula J Gray | Nurse Practitioner | 2410 Stanley Rd, Attn Mche Dha, Fort Sam Houston, TX 78234-7529 | 2008-06-16 |
| 1649281098 | Robert B. Neese | Dentist | 2410 Stanley Rd, Dentac Suite 200h, Fort Sam Houston, TX 78234-7529 | 2006-08-11 |
| 1124039599 | Michael L. Roberts | Dentist | 2410 Stanley Rd, Dentac Suite 200h, Fort Sam Houston, TX 78234-7529 | 2006-08-11 |
| 1629003835 | Russell James Czerw | Dentist | 2410 Stanley Rd, Dentac Suite 200j, Fort Sam Houston, TX 78234-7529 | 2006-07-12 |
| 1417914565 | Mark Bridge Bodenheim | Dentist | 2410 Stanley Rd, Suite 200j, Fort Sam Houston, TX 78234-7529 | 2006-05-01 |
| 1811955909 | Arthur Charles Scott | Dentist | 2410 Stanley Rd, Suite 200j, Fort Sam Houston, TX 78234-7529 | 2006-05-01 |
| 1114984291 | Jimmy Ross Daniels | Dentist | 2410 Stanley Rd, Suite 200j, Fort Sam Houston, TX 78234-7529 | 2006-05-01 |
| 1043272263 | Marshall Ray Cox | Dentist | 2410 Stanley Rd, Dentac Suite 200j, Fort Sam Houston, TX 78234-7529 | 2006-04-04 |
| 1164484473 | Timothy Kevin Jones | Dentist | 2410 Stanley Rd, Dentac Suite 200j, Fort Sam Houston, TX 78234-7529 | 2006-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| 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 |
|---|---|---|---|---|
| 1710218490 | James Martin Mccann | Dentist | 4270 Gorgas Cir Bldg 1070, Us Army Dental Command, Fort Sam Houston, TX 78234-2639 | 2010-01-20 |
| 1881924983 | Sachiyo Kawaguchi Chambers | Dentist | 2940 Stanley Rd Bldg 2375, Fort Sam Houston, TX 78234-2740 | 2010-01-12 |
| 1912107194 | Min C. Kim | Dentist | 4270 Gorgas Circle, Fort Sam Houston, TX 78234-2639 | 2007-07-25 |
| 1699882241 | Thomas Richard Cole | Dentist | 1400 Grayson St, Bldg 44, Suite 213, Fort Sam Houston, TX 78234-7577 | 2006-08-23 |
| 1023070448 | Robert William Lutka | Dentist | Dentac 2410 Stanley Road, Suite 200j, Fort Sam Houston, TX 78234-6230 | 2006-04-03 |
| 1083029573 | Jacob David Buhler | Dentist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-24 |
| 1417221169 | Kimberly Tong | Dentist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2012-02-27 |
| 1316196280 | Justin Jarisch | Dentist | 1811 Army Blvd, Fort Sam Houston, TX 78234 | 2008-09-16 |
| 1215079314 | Linda L Smith | Dentist | Dentac 2410 Stanley Road, Suite 200j, Fort Sam Houston, TX 78234-6230 | 2007-02-13 |
| 1649281098 | Robert B. Neese | Dentist | 2410 Stanley Rd, Dentac Suite 200h, Fort Sam Houston, TX 78234-7529 | 2006-08-11 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.