Wall, Renee A

Wall, Renee A is an individual health care provider with primary practice located at 100 Hyannis Dr , Holly Springs NC 27540-8327. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wall, Renee A can be contacted via phone (919) 362-1394.

Contact Information

Primary practice address
100 Hyannis Dr Holly Springs NC 27540-8327
Fax: (919) 362-1638
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6732 North Carolina

Profile Details

NPI number 1114007721
LBN Legal business name Wall, Renee A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114007721 NPPES
North Carolina Other 9008P BCBS
North Carolina Other 811370 BCBS

Popular Providers