DR. GARY A WALL JR. (NPI# 1821074527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821074527 |
| Entity Type | Individual |
| Full Name | DR. GARY A WALL JR. |
| Credential | D.D.S. |
| Practice Address |
10627 19th Ave Se Everett WA 98208-5147 |
| Practice Telephone | 4253376553 |
| Practice Fax Number | 4253858943 |
| Mailing Telephone | 4253376553 |
| Mailing Fax Number | 4253858943 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 08241 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850523 | Gary Wall | Dentist | 780 S 2000 W Ste F2, Syracuse, UT 84075-9609 | 2015-09-10 |
| 1205868569 | Gary Vincent Wall | Chiropractor | 535 W 9th St, Corona, CA 92882-3218 | 2006-07-07 |
| 1427610435 | Gary Wall | Orthotist | 1031 W Williams St Ste 104, Apex, NC 27502-3955 | 2019-07-01 |
| Street Address |
10627 19TH AVE SE |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969669 | Manvir Kaur | Dentist | 3425 96th Pl Se, Everett, WA 98208-4321 | 2020-07-14 |
| 1700427978 | Ali Ahmed Al-rubaye | Dentist | 285 Main St # 5719, Everett, MA 02149-5719 | 2019-09-30 |
| 1841831096 | Jimmy Samuel Alburquerque | Dentist | 459 Broadway Ste 1, Everett, MA 02149-3614 | 2019-09-30 |
| 1649830761 | Francini Heidemann | Dentist | 39 Parlin St Apt 203, Everett, MA 02149-1944 | 2019-06-20 |
| 1205316361 | Nam Duc-hai Nguyen | Dentist | 1510 Se Everett Mall Way Ste C, Everett, WA 98208-2863 | 2018-08-17 |
| 1750885471 | Washington Dental Corporation, PC | Dentist | 1519 132nd St Se Ste G, Everett, WA 98208-7203 | 2018-03-19 |
| 1366966376 | Washington Dental Corporation, PC | Dentist | 1031 Se Everett Mall Way Ste 101, Everett, WA 98208-2833 | 2017-08-01 |
| 1922548684 | Winston Lo | Dentist | 111 Se Everett Mall Way # B-100, Everett, WA 98208-3208 | 2017-02-28 |
| 1649725748 | Perfect Smiles Dentistry Pllc | Dentist | 1510 Se Everett Mall Way, Suite C, Everett, WA 98208-2863 | 2016-08-18 |
| 1316319015 | Alireza Barekatein | Dentist | 1823 1/2 State St, Everett, WA 98201-2166 | 2015-10-21 |
| Find all providers in EVERETT | ||||
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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.