Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760850523 Individual Practitioner Male Practitioner

Gary Wall

Dentist - Pediatric Dentistry • Syracuse, UT

Professional Overview & Biography Verified Profile Summary

Gary Wall is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Syracuse, UT. Practice services are available at 780 S 2000 W STE F2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

780 S 2000 W Ste F2

Syracuse, UT 840759609

Telephone 8017768176
Associated Practice Facility / Clinic
🏢 Kidz Dental Works Facility NPI 1730224643

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Syracuse, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Syracuse, UT (144 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License UT 266402

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Tate Trujillo , DDS

Dentist - Pediatric Dentistry

NPI 1255891511

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2015

Registered at 780 S 2000 W STE F2, SYRACUSE, UT 840759609 (Tel: 8017768176)

📍
Updated Business Mailing Address September 10, 2015

Registered at 780 S 2000 W STE F2, SYRACUSE, UT 840759609 (Tel: 8017768176)

👤
Provider Name / Credentials Updated September 10, 2015

Recorded as GARY WALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Dentist (License #266402 in UT)

🟢
Initial NPI Registration & Enumeration September 10, 2015

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: 1760850523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2015
Last Update: September 10, 2015
Sole Proprietor: Yes

Mailing Address

780 S 2000 W Ste F2

Syracuse, UT 840759609

Phone: 8017768176

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.