Dr. William Wall , DDS
Dentist - General Practice • Charleston, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Wall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. William Wall, DDS was a registered Dentist - General Practice practicing in Charleston, IL. Throughout an active medical career spanning 15 years, Dr. Wall provided care at the practice location at 903 NORTH 18TH STREET until profile deactivation on 2021-06-15.
Practice Location & Contact Primary Location
903 North 18th Street
Charleston, IL 61920
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Charleston, IL
Practicing in Charleston, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
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Record deactivated on June 15, 2021
NPI status registered as active in NPPES database
Registered at 903 NORTH 18TH STREET, CHARLESTON, IL 61920 (Tel: 2173487770)
Registered at 903 NORTH 18TH STREET, CHARLESTON, IL 61920 (Tel: 2173487770)
Recorded as WILLIAM WALL, DDS
Dentist (License #19A12104 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
903 North 18th Street
Charleston, IL 61920
Phone: 2173487770
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