What is Tanya Wall's NPI number?

Tanya Wall's National Provider Identifier (NPI) is 1063528586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tanya Wall's specialty?

Tanya Wall is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Tanya Wall located?

Tanya Wall's practice location on file with NPPES is 2255 Dunn Ave, Jacksonville, FL 32218.

What is Tanya Wall's phone number?

The practice phone number listed in the NPPES registry for Tanya Wall is (904) 751-5126.

Does Tanya Wall accept Medicare?

Tanya Wall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Tanya Wall's NPI active?

Yes — Tanya Wall's NPI (1063528586) is active in the NPPES registry as of the last update on 2019-01-08.

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Tanya Wall, DDS

NPI 1063528586 · Pediatric Dentistry · Jacksonville, FL

Tanya Wall, DDS is a Pediatric Dentistry provider in Jacksonville, FL (NPI 1063528586).

Provider details

NPI number: 1063528586
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DDS
Sex: Female
Sole proprietor: No
License: DN15601 (FL)

Practice location

2255 Dunn Ave

Bldg. 700

Jacksonville, FL 32218

Phone: (904) 751-5126

Fax: (904) 751-5146

Street-level locationGet directions

More FL providers

Mailing address

Po Box 26948

Jacksonville, FL 32226

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense DN15601 (FL)
Dental Providers

Enrolled with Medicare as Practitioner - Pediatric Dentistry · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2006-08-21
Last updated: 2019-01-08

Frequently asked questions

What is Tanya Wall's NPI number?: Tanya Wall's National Provider Identifier (NPI) is 1063528586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Tanya Wall's specialty?: Tanya Wall is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
Where is Tanya Wall located?: Tanya Wall's practice location on file with NPPES is 2255 Dunn Ave, Jacksonville, FL 32218.
What is Tanya Wall's phone number?: The practice phone number listed in the NPPES registry for Tanya Wall is (904) 751-5126.
Does Tanya Wall accept Medicare?: Tanya Wall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Tanya Wall's NPI active?: Yes — Tanya Wall's NPI (1063528586) is active in the NPPES registry as of the last update on 2019-01-08.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions