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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.