Organization
JAMES S WALL JR DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SANFORD WALL JR. DMD (PRESIDENT DENTIST)
(256) 536-7593
Entity
Organization
Contact information
Practice address
401 LOWELL DR SE, SUITE 21, HUNTSVILLE, AL 35801
(256) 536-7593
(256) 536-7518
Mailing address
401 LOWELL DR SE, SUITE 21, HUNTSVILLE, AL 35801
(256) 536-7593
(256) 536-7518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AL2315
AL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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