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Dr. Tanya C Wall

Pediatric Dentist

2255 Dunn Ave Bldg. 700
Jacksonville , Florida 32218

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Dr. Tanya C Wall

Pediatric Dentist

2255 Dunn Ave Bldg. 700
Jacksonville , Florida 32218

(904) 751-5146

Write a Review Save Call

Dr. Tanya C Wall

Pediatric Dentist

2255 Dunn Ave Bldg. 700
Jacksonville , Florida 32218

(904) 751-5146 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

2255 Dunn Ave Bldg. 700 Jacksonville , Florida 32218

First Address

  • Dr. Tanya C Wall
  • Po Box 26948
  • Jacksonville, FL
  • Zip : 32226
  • Fax : (904) 751-5146
  • Phone : (904) 751-5126

Second Address

  • Dr. Tanya C Wall
  • 2255 Dunn Ave Bldg. 700
  • Jacksonville, FL
  • Zip : 32218
  • Fax : (904) 751-5146
  • Phone : (904) 751-5126

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FAQs


Where did Dr. Tanya C Wall attend graduate school?

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Where did Dr. Tanya C Wall do her residency?

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Where did Dr. Tanya C Wall do her fellowship?

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Is Dr. Tanya C Wall board certified?

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What type of doctor is Dr. Tanya C Wall

Pediatric Dentist

In what state does Dr. Tanya C Wall practice in?

Florida

Where is Dr. Tanya C Wall ’s practice located?

2255 Dunn Ave Bldg. 700 , Jacksonville, Florida, 32218

What is Dr. Tanya C Wall ’s gender?

Female

Is Dr. Tanya C Wall a sole practitioner?

No

Is Dr. Tanya C Wall accepting new patients?

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What languages does Dr. Tanya C Wall speak?

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Does Dr. Tanya C Wall accept insurance?

Yes, Dr. Tanya C Wall accepts insurance

Does Dr. Tanya C Wall offers telemedicine?

Dr. Tanya C Wall has not indicated if she offers telemedicine

What is Dr. Tanya C Wall ’s professional license number?

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What is Dr. Tanya C Wall ’s NPI number?

1063528586

Does Dr. Tanya C Wall have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist DN15601 FL

National Provider Identifier

NPI 1063528586
Provider Name Dr. Tanya C Wall
First Address Jacksonville, FL 32226
Second Address Jacksonville, FL 32218
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/08/2006
Last Update Date 08/01/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0758264000 (05) FL
70640 ADI HEALTHY KIDS (01) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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