Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144168550 Individual Practitioner Male Practitioner

Dr. Edward K Wall , DDS

Dentist • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Wall, DDS is a registered healthcare professional specializing in Dentist in San Rafael, CA. Practice services are available at 13 PETER BEHR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13 Peter Behr Dr

San Rafael, CA 949035216

Telephone 4154736651
Associated Practice Facility / Clinic
🏢 County Of Marin Facility NPI 1114704459

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
41 Specialists

Practicing in San Rafael, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 20980

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Daniela Zuccarello , RN

Registered Nurse

NPI 1013864842

Registered Nurse

Susan Lesher , RN

Registered Nurse

NPI 1083560080

Registered Nurse

Philip Tow , RN

Registered Nurse

NPI 1245188671

Registered Nurse

Juliet Dela Cruz , RN

Registered Nurse

NPI 1275489791

Registered Nurse

Maria Nolasco , LVN

Licensed Vocational Nurse

NPI 1306793336

Licensed Vocational Nurse

Xing Lin , NP

Family Medicine

NPI 1417474370

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 24, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2026

Registered at 13 PETER BEHR DR, SAN RAFAEL, CA 949035216 (Tel: 4154736651)

📍
Updated Business Mailing Address March 24, 2026

Registered at 13 PETER BEHR DR, SAN RAFAEL, CA 949035216 (Tel: 4154736651)

👤
Provider Name / Credentials Updated March 24, 2026

Recorded as EDWARD WALL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2026

Dentist (License #20980 in CA)

🟢
Initial NPI Registration & Enumeration March 24, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144168550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2026
Last Update: March 24, 2026
Sole Proprietor: No

Mailing Address

13 Peter Behr Dr

San Rafael, CA 949035216

Phone: 4154736651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.