GARY WALL


Address: 780 S 2000 W Ste F2, Syracuse, UT 84075-9609
Phone: 8017768176

GARY WALL (NPI# 1760850523) 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) 1760850523
Entity Type Individual
Full Name GARY WALL
Other Name SCOTT WALL
Practice Address 780 S 2000 W Ste F2
Syracuse
UT 84075-9609
Practice Telephone 8017768176
Mailing Telephone 8017768176
Enumeration Date 2015-09-10
Last Update Date 2015-09-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
266402 UT Dental Providers

Other Providers GARY WALL

NPI Name Taxonomy Address Enumeration
1205868569 Gary Vincent Wall Chiropractor 535 W 9th St, Corona, CA 92882-3218 2006-07-07
1821074527 Gary A Wall Jr. Dentist 10627 19th Ave Se, Everett, WA 98208-5147 2005-12-15
1427610435 Gary Wall Orthotist 1031 W Williams St Ste 104, Apex, NC 27502-3955 2019-07-01

Office Location

Street Address 780 S 2000 W STE F2
City SYRACUSE
State UT
Zip Code 84075-9609

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750775235 Syracuse Assisted Living Phase I Assisted Living Facility 2063 W. 1900 S., Syracuse, UT 84075 2015-03-24
1881975464 Norman Kent Sharp II Dentist 1662 S 2000 W Ste A1, Syracuse, UT 84075 2011-09-08
1245471705 Ihc Health Services Inc Family Medicine 745 South 2000 West, Syracuse, UT 84075 2009-03-13
1124240197 Richard Jackson Psychologist 2650 West 2700 South, Syracuse, UT 84075 2007-05-02
1679799902 Nathan Wesley Elmore Chiropractor 1842 South 2000 West, Syracuse, UT 84075 2007-04-17
1972635332 Aspen Institute for Behavioral Assessment Psychiatric Residential Treatment Facility 2732 W 2700 S, Syracuse, UT 84075 2007-03-12
1427111558 Sheldon L Peck Dentist 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 2006-12-19
1811081771 Tyler R Elmore Chiropractor 1013 W 2700 S, Syracuse, UT 84075 2006-10-03
1235247438 Brett R Coleman Dentist 780 S 2000 W, Bldg E304, Syracuse, UT 84075 2006-08-28
1164431177 Kipton Jay Norris Dentist 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 2006-08-07
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811269756 Pacific West Dental Group Dentist 1792 W 1700 S Ste 101, Syracuse, UT 84075-9650 2012-02-08
1992179964 Kids Town Pediatric Dentistry of Syracuse Dentist 780 S 2000 W, Suite #f-2, Syracuse, UT 84075-9602 2015-11-13
1750519864 Tansy Schoonmaker Dentist 301 Prospect Ave, Pob Ste 705, Syracuse, NY 13203-1807 2009-06-26
1497945711 Steve Hibbert Dentist 1747 Heritage Ln, Ste B202, Syracuse, UT 84075-8552 2007-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841891462 South Davis Pediatric Dentistry LLC Dentist 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 2020-11-02
1376176198 Happy Tooth Pediatric Dentistry, LLC Dentist 2453 E 3300 S, Millcreek, UT 84109-2725 2020-02-20
1750932273 Michael R. Brown Dds Ms Dentist 1240 E 100 S Ste 120, St George, UT 84790-3079 2019-09-25
1609438357 Children's Landing Pediatric Dentistry, PC Dentist 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 2019-07-02
1841766821 Dry Creek Pediatric Dentistry Dentist 3300 N Running Creek Way F101, Lehi, UT 84043 2018-10-17
1639654684 Clubhouse Pediatric Dentistry of West Jordan Dentist 1108 E South Union Ave, Midvale, UT 84047-2904 2018-09-26
1639667801 St. George Kids Dental At Snow Canyon Dentist 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 2018-04-24
1376044313 Slpd Cottonwood LLC Dentist 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 2018-02-26
1013420553 Kevin Brown Dmd, LLC Dentist 1030 S 1100 W, Suite B, Lehi, UT 84043 2017-11-07
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
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Competitor

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City SYRACUSE
Zip Code 84075

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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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