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Wm.henry Wall
Oral and Maxillofacial Surgery (Dentist) in Norcross, Georgia
NPI 1215108220

Wm.henry Wall is a Oral and Maxillofacial Surgery (Dentist) based in Norcross, GA and is specialized in Oral and Maxillofacial Surgery. Wm.henry Wall practices in Norcross, GA. The NPI Number for Wm.henry Wall is 1215108220 and holds a License No. DN006817 (Georgia).

The current practice location address for Wm.henry Wall is 5139 Jimmy Carter Blvd Ste 201, Norcross, GA and can be reached out via phone at 770-448-0966 and via fax at 770-448-8549.

Location: 5139 Jimmy Carter Blvd Ste 201, Norcross, GA, 30093-1638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215108220
Provider Name
Wm.henry Wall
Credential
Provider Entity Type
Organization
Address
5139 Jimmy Carter Blvd Ste 201, Norcross, GA, 30093-1638
Phone Number
770-448-0966
Fax Number
770-448-8549
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5139 Jimmy Carter Blvd Ste 201
City
Norcross
State
Georgia
Zip
30093-1638
Phone Number
770-448-0966
Fax Number
770-448-8549
person
Provider Business Mailing Address Details
Address
5139 Jimmy Carter Blvd Ste 201
City
Norcross
State
Georgia
Zip
30093-1638
Phone Number
770-448-0966
Fax Number
770-448-8549
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN006817 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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