Timothy R. Wall, DDS
General Dentistry · Pewaukee, WI
UnclaimedDDSNPI 1932255627
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2007-01-26
- Practice location
- Pewaukee, WI
- Last NPPES update
- 2007-07-08
State licenses
- WI · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.