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Dr. Matthew Ryan Wall, DDS
Dentist Anesthesiologist in Mesa, Arizona
NPI 1629214820

Matthew Ryan Wall is a Dentist Anesthesiologist based in Mesa, AZ and is specialized in Dentist Anesthesiologist. Matthew Ryan Wall practices in Mesa, AZ and has the professional credentials of DDS. The NPI Number for Matthew Ryan Wall is 1629214820 and holds a License No. 57242 (Arizona).

The current practice location address for Matthew Ryan Wall is 625 W Southern Ave Ste E-145, Mesa, AZ and can be reached out via phone at 602-759-2131.

Location: 625 W Southern Ave Ste E-145, Mesa, AZ, 85210-5030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629214820
Provider Name
Matthew Ryan Wall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
625 W Southern Ave Ste E-145, Mesa, AZ, 85210-5030
Phone Number
602-759-2131
Fax Number
Provider Enumeration Date
12/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
535955 05 AZ
institution
Provider Business Practice Location Address Details
Address
625 W Southern Ave Ste E-145
City
Mesa
State
Arizona
Zip
85210-5030
Phone Number
602-759-2131
Fax Number
person
Provider Business Mailing Address Details
Address
625 W Southern Ave Ste E-145
City
Mesa
State
Arizona
Zip
85210-5030
Phone Number
602-759-2131
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
D7990 (Arizona)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
57242 (California)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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