DR. ERIC BOLES WALL (NPI# 1366479230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366479230 |
| Entity Type | Individual |
| Full Name | DR. ERIC BOLES WALL |
| Credential | DDS |
| Practice Address |
6529 Inglewood Ave A-1 Stockton CA 95207-3864 |
| Practice Telephone | 2094733788 |
| Practice Fax Number | 2094732775 |
| Mailing Telephone | 2094733788 |
| Mailing Fax Number | 2094732775 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
26796 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487660973 | Eric Martin Wall | Family Medicine | 2505 2nd Ave, Seattle, WA 98121-1452 | 2006-08-01 |
| 1659305050 | Eric J Wall | Orthopaedic Surgery | 3333 Burnet Ave, Ml 2017, Cincinnati, OH 45229-3039 | 2006-07-10 |
| Street Address |
6529 INGLEWOOD AVE A-1 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750749875 | Franklin Dental Inc | Dentist | 6529 Inglewood Ave, B-2, Stockton, CA 95207-3864 | 2016-02-03 |
| 1861786634 | Elbert Choi | Dentist | 6529 Inglewood Ave, Suite A-1, Stockton, CA 95207-3864 | 2011-06-08 |
| 1508902255 | Michael Robert Panzer | Dentist | 6529 Inglewood Ave, B-4, Stockton, CA 95207-3864 | 2007-01-29 |
| 1932272424 | Ken Nobel Oshidari | Dentist | 6529 Inglewood Ave, Suite # B 1, Stockton, CA 95207 | 2006-11-15 |
| 1336253251 | John E Blades | Dentist | 6529 Inglewood Ave, Suite B2, Stockton, CA 95207 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649213174 | Jeffrey Christopher Payne | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2006-06-13 |
| 1376034587 | Jeremy Jacobs May, Dds, Inc. | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2018-05-23 |
| 1235500455 | Pablo Jacobo Dds Inc | Dentist | 1035 W Robinhood Dr, Stockton, CA 95207-5621 | 2015-10-14 |
| 1629414842 | Jeremy May | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219 | 2013-05-14 |
| 1861786634 | Elbert Choi | Dentist | 6529 Inglewood Ave, Suite A-1, Stockton, CA 95207-3864 | 2011-06-08 |
| 1982843033 | Nicolas S. Veaco, M.d., D.d.s., A Professional Corporation | Dentist | 3427 Deer Park Dr, Ste B, Stockton, CA 95219-2355 | 2009-02-12 |
| 1346403169 | Miraj Kishor Sanghvi | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2008-07-02 |
| 1063685303 | Veaco Md Dds George Dds Arredondo Dds A Dental Corporation | Dentist | 3427 Deer Park Dr, Sutie B, Stockton, CA 95219-2355 | 2008-04-08 |
| 1699818872 | Bunch-payne, Oral and Maxillofacial Surgery | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2007-02-15 |
| 1992810337 | Nicolas Veaco | Dentist | 3427 Deer Park Dr, Suite B, Stockton, CA 95219-2355 | 2006-08-19 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.