Individual
DR. JERMAINE MICHAEL WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
366 W LAKE MEAD PKWY STE 100, HENDERSON, NV 89015-7287
(702) 464-3158
(702) 464-3158
Mailing address
3660 SAINT ROSE PKWY UNIT 33106, HENDERSON, NV 89052-4876
(773) 979-5423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8447
NV
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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