Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518046606 Individual Practitioner Male Practitioner

Dr. Derek Heath Wall , DDS

Dentist - General Practice • Lynn Haven, FL

Professional Overview & Biography Verified Profile Summary

Dr. Derek Wall, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lynn Haven, FL. Practice services are available at 801 OHIO AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 Ohio Avenue

Lynn Haven, FL 32444

Telephone 8502653696
Associated Practice Facility / Clinic
🏢 Derek H. Wall Dds Pa Facility NPI 1255563946

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lynn Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Lynn Haven, FL (7473 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14056

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Marshall Powell , DMD

Dentist - General Practice

NPI 1699601328

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 801 OHIO AVENUE, LYNN HAVEN, FL 32444 (Tel: 8502653696)

📍
Updated Business Mailing Address July 08, 2007

Registered at 801 OHIO AVENUE, LYNN HAVEN, FL 32444 (Tel: 8502653696)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEREK WALL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN14056 in FL)

🟢
Initial NPI Registration & Enumeration November 02, 2006

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: 1518046606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

801 Ohio Avenue

Lynn Haven, FL 32444

Phone: 8502653696

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.