person
Dr. Brad J Wall, DMD
General Practice Dentistry in Missoula, Montana
NPI 1619072444

Brad J Wall is a General Practice Dentistry based in Missoula, MT and is specialized in General Practice. Brad J Wall practices in Missoula, MT and has the professional credentials of DMD. The NPI Number for Brad J Wall is 1619072444 and holds a License No. MT1999 (Montana).

The current practice location address for Brad J Wall is 1001 Sw Higgins, Missoula, MT and can be reached out via phone at 406-728-6068 and via fax at 406-829-0868.

Location: 1001 Sw Higgins, Missoula, MT, 59803
person
Provider Profile Details
NPI Number
1619072444
Provider Name
Brad J Wall
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1001 Sw Higgins, Missoula, MT, 59803
Phone Number
406-728-6068
Fax Number
406-829-0868
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0112242 05 MT
institution
Provider Business Practice Location Address Details
Address
1001 Sw Higgins
City
State
Zip
59803
Phone Number
406-728-6068
Fax Number
406-829-0868
person
Provider Business Mailing Address Details
Address
1001 Sw Higgins
City
State
Zip
59803
Phone Number
406-728-6068
Fax Number
406-829-0868
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
MT1999 (Montana)
Definition
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.
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