Dr Matthew Ryan Wall, DDS - Dentist in Mesa, AZ

Dr Matthew Ryan Wall, DDS is a Dentist - Dentist Anesthesiologist based in Mesa, Arizona. Dr Matthew Ryan Wall is licensed to practice in Arizona (license number D7990) and his current practice location is 625 W Southern Ave Ste E-145, Mesa, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 759-2131.

NPI number for Dr Matthew Ryan Wall is 1629214820 and his current mailing address is 625 W Southern Ave Ste E-145, Mesa, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629214820.

Contact Information

Dr Matthew Ryan Wall, DDS
625 W Southern Ave Ste E-145,
Mesa, AZ 85210-5030
(602) 759-2131
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Matthew Ryan Wall
GenderMale
SpecialityDentist - Dentist Anesthesiologist
Location625 W Southern Ave Ste E-145, Mesa, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629214820
  • Provider Enumeration Date: 12/18/2008
  • Last Update Date: 06/29/2016

Medical Identifiers

Medical identifiers for Dr Matthew Ryan Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629214820NPI-NPPES
535955MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 57242 (California)Secondary
1223D0004XDentist - Dentist Anesthesiologist D7990 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Ryan Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matthew Ryan Wall, DDS
625 W Southern Ave Ste E-145,
Mesa, AZ 85210-5030

Ph: (602) 759-2131
Dr Matthew Ryan Wall, DDS
625 W Southern Ave Ste E-145,
Mesa, AZ 85210-5030

Ph: (602) 759-2131

Reviews and Comments


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