Dr. Jesse Reis Wall , DDS
Dentist - General Practice • Danville, VA
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. Jesse Wall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jesse Wall, DDS was a registered Dentist - General Practice practicing in Danville, VA. Throughout an active medical career spanning 16 years, Dr. Wall provided care at the practice location at 1045 MAIN ST until profile deactivation on 2022-01-28.
Practice Location & Contact Primary Location
1045 Main St
Suite 6
Danville, VA 245411800
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Danville, VA
Practicing in Danville, VA (3535 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
Counselor - Addiction (Substance Use Disorder)
Licensed Clinical Addiction Specialist
Counselor - Professional
Counselor - Mental Health
Licensed Professional Counselor
Social Worker - Clinical
Behavior Technician
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 28, 2022
NPI status registered as active in NPPES database
Registered at 1045 MAIN ST, SUITE 6, DANVILLE, VA 245411800 (Tel: 4347928622)
Registered at 1045 MAIN ST, SUITE 6, DANVILLE, VA 245411800 (Tel: 4347928622)
Recorded as JESSE WALL, DDS
Dentist (License #0401005098 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1045 Main St, Suite 6
Danville, VA 245411800
Phone: 4347928622
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