IndividualActive
Andrew Walls, DDS
NPI 1043216567 · Dentist · Lakeview, OR
Provider details
- NPI number
- 1043216567
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5630 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
628 N 1st St
Lakeview, OR 97630-1506
Phone: (888) 468-0022
Fax: (541) 504-3907
Approximate (ZIP-level) locationGet directions
Mailing address
442 Sw Umatilla Ave
Redmond, OR 97756-7039
Registry dates
- Enumerated
- 2005-06-21
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.