Dr. Tanya C Wall is a Jacksonville, Florida based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Tanya C Wall is
DN15601 for Pediatric Dentistry in Florida. Her current practice location is
2255 Dunn Ave, Bldg. 700, Jacksonville. Patients can reach her at
904-751-5126.
Dr. Tanya C Wall provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Tanya C Wall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Tanya C Wall |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2255 Dunn Ave, Bldg. 700, Jacksonville,
Florida, 32218 |
| Phone: | 904-751-5126 |
| Fax: | 904-751-5146 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1063528586 |
| NPI Enumeration Date: | 21 Aug, 2006 |
| NPI Last Update On: | 08 Jan, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tanya C Wall are as mentioned below.
| License Number | Specialization | State | Status | |
| DN15601 | Pediatric Dentistry | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Tanya C Wall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 70640 | Other | Florida | ADI HEALTHY KIDS |
| 0758264000 | Medicaid | Florida | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 26948,
Jacksonville, Florida |
| Zip: | 32226 |
| Phone Number: | 904-751-5126 |
| Fax Number: | 904-751-5146 |
Patients can reach Dr. Tanya C Wall at
2255 Dunn Ave, Bldg. 700, Jacksonville, Florida or can
call to book an appointment on 904-751-5126.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.