Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013062249 Individual Practitioner Female Practitioner

Dr. Ragonva Shante Walls , DDS

Dentist - General Practice • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. Ragonva Walls, DDS is a registered healthcare professional specializing in Dentist - General Practice in Memphis, TN. Practice services are available at 1273 E RAINES RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1273 E Raines Rd

Memphis, TN 381165816

Telephone 9013986435
Associated Practice Facility / Clinic
🏢 Whitehaven Dental Care Inc. Facility NPI 1104367481

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 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 TN 8059

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. Charles Zitek , DDS

Dentist - General Practice

NPI 1639230212

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2017

Registered at 1273 E RAINES RD, MEMPHIS, TN 381165816 (Tel: 9013986435)

📍
Updated Business Mailing Address June 21, 2017

Registered at 1273 E RAINES RD, MEMPHIS, TN 381165816 (Tel: 9013986435)

👤
Provider Name / Credentials Updated June 21, 2017

Recorded as RAGONVA WALLS, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Dentist (License #8059 in TN)

NPI Profile Active October 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2016

Registered at 1273 E RAINES RD, MEMPHIS, TN 381165816 (Tel: 9013986435)

📍
Updated Business Mailing Address October 26, 2016

Registered at 1273 E RAINES RD, MEMPHIS, TN 381165816 (Tel: 9013986435)

👤
Provider Name / Credentials Updated October 26, 2016

Recorded as RAGONVA WALLS, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2016

Dentist (License #8059 in TN)

🟢
Initial NPI Registration & Enumeration January 25, 2007

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: 1013062249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: June 21, 2017
Sole Proprietor: Yes

Mailing Address

1273 E Raines Rd

Memphis, TN 381165816

Phone: 9013986435

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.