Gary Wall, in Syracuse, UT - Dentist

Gary Wall, is a Dentist - Pediatric Dentistry based in Syracuse, Utah. Gary Wall is licensed to practice in Utah (license number 266402) and his current practice location is 780 S 2000 W Ste F2, Syracuse, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 776-8176.

NPI number for Gary Wall is 1760850523 and his current mailing address is 780 S 2000 W Ste F2, Syracuse, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760850523.

Contact Information

	Gary Wall,
	780 S 2000 W Ste F2, Syracuse, UT 84075-9609
	(801) 776-8176
	Not Available

Healthcare Provider's Profile

Full Name	Gary Wall
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	780 S 2000 W Ste F2, Syracuse, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1760850523
Provider Enumeration Date: 09/10/2015
Last Update Date: 09/10/2015

Medical Identifiers

Medical identifiers for Gary Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760850523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	266402 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gary Wall, 780 S 2000 W Ste F2, Syracuse, UT 84075-9609 Ph: (801) 776-8176	Gary Wall, 780 S 2000 W Ste F2, Syracuse, UT 84075-9609 Ph: (801) 776-8176

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Dentist in Syracuse, UT

Shad T Ingram, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W, F 1, Syracuse, UT 84075 Phone: 801-776-3000 Fax: 801-825-7700
Dr. Kipton Jay Norris, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 Phone: 801-776-2461 Fax: 801-776-2469
Dr. Michael L. Gailey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1747 Heritage Ln, Suite B201, Syracuse, UT 84075 Phone: 801-776-2461 Fax: 801-776-2469
Dr. Brett R Coleman, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W, Bldg E304, Syracuse, UT 84075 Phone: 801-614-9090 Fax: 801-614-9091
Dr. Tate Austin Trujillo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W Ste F2, Syracuse, UT 84075 Phone: 801-217-3359
Dr. Jeffrey Val Hansen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1747 Heritage Ln Ste B203, Syracuse, UT 84075 Phone: 801-525-1725 Fax: 801-525-0988
Dr. Casey B Brewer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1792 W 1700 S Ste 101, Syracuse, UT 84075 Phone: 801-614-0099

Gary Wall, - Dentist in Syracuse, UT