| Dr Brent Wall, DDS | |
|
900 Thomas Dr, Panama City Beach, FL 32408-7442 | |
| (850) 249-9311 | |
| Not Available |
| Full Name | Dr Brent Wall |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 900 Thomas Dr, Panama City Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497804637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19733 (Texas) | Secondary |
| 122300000X | Dentist | DN28186 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Wall, DDS 9696 Braun Road, San Antonio, TX 78254 Ph: (210) 523-9696 | Dr Brent Wall, DDS 900 Thomas Dr, Panama City Beach, FL 32408-7442 Ph: (850) 249-9311 |
Carlos Rodriguez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 15450 Panama City Beach Pkwy, Panama City Beach, FL 32413 Phone: 561-601-3691 | |
Dr. Shabana Azam, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3135 Thomas Dr, Panama City Beach, FL 32408 Phone: 850-588-5256 Fax: 850-775-4154 | |
Denise Le, Dentist Medicare: Not Enrolled in Medicare Practice Location: 11130 Panama City Beach Pkwy, Panama City Beach, FL 32407 Phone: 850-919-3628 | |
Frederick G Klepes Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 15450 Panama City Beach Pwky, Panama City Beach, FL 32413 Phone: 850-238-3326 | |
Dr. Austin Nebeker Lyman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15450 Panama City Beach Pkwy, Panama City Beach, FL 32413 Phone: 850-250-1722 | |
Dr. Poorandai Shivbaran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15450 Panama City Beach Pkwy, Panama City Beach, FL 32413 Phone: 305-878-9187 |