OrganizationActive
Derek H. Wall DDS PA
NPI 1255563946 · General Practice Dentistry · Lynn Haven, FL
Derek H. Wall DDS PA is a General Practice Dentistry organization in Lynn Haven, FL (NPI 1255563946).
Provider details
- NPI number
- 1255563946
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Derek Wall DDS PA, President(850) 265-3696
- License
- DN14056 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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.
Practice location
801 Ohio Ave
Lynn Haven, FL 32444-2351
Phone: (850) 265-3696
Fax: (850) 265-2699
Street-level locationGet directions
Mailing address
801 Ohio Ave
Lynn Haven, FL 32444-2351
Registry dates
- Enumerated
- 2009-08-14
- Last updated
- 2009-08-14
Frequently asked questions
- What is Derek H. Wall DDS PA's NPI number?
- Derek H. Wall DDS PA's National Provider Identifier (NPI) is 1255563946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derek H. Wall DDS PA?
- Derek H. Wall DDS PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Derek H. Wall DDS PA located?
- Derek H. Wall DDS PA's practice location on file with NPPES is 801 Ohio Ave, Lynn Haven, FL 32444-2351.
- What is Derek H. Wall DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Derek H. Wall DDS PA is (850) 265-3696.
- Who is the authorized official for Derek H. Wall DDS PA?
- The authorized official listed on Derek H. Wall DDS PA's NPPES record is Derek Wall DDS PA, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derek H. Wall DDS PA's NPI active?
- Yes — Derek H. Wall DDS PA's NPI (1255563946) is active in the NPPES registry as of the last update on 2009-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.