Edward Hugh Wall, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN011027 Issued in GA

Practice address

549 S Main St
Cleveland, GA 30528-1411

Phone

(706) 865-2248

Fax

(706) 219-2051

NPI assigned

Jan 26, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foothills Family Dental LLC

  • Dental Clinic/Center
  • Cleveland, GA
  • NPI 1629842505
  NPD Authorized official
• Associates of Family Dentistry

  • Dentist
  • Cleveland, GA
  • NPI 1700931037
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1154569424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "address_2": "549 SOUTH MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305280016",
            "telephone_number": "706-865-2248",
            "fax_number": "706-219-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 S MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281411",
            "telephone_number": "706-865-2248",
            "fax_number": "706-219-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "EDWARD",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey B Vinson V
• Allyson Brooke Wakenigg
• Wal-Mart Stores East LP
• Pam Jean Walcott, PT
• Walgreen Co
• William Mark Walters, M.D.
• Wellspring Therapy Associates, LLC
• Westmoreland Haven, Inc.
• Julie Ann Wheeler, LPC
• White County Board of Commissioners

• Dentist in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.