OrganizationActive
Charles C Wall DDS
NPI 1306060306 · General Practice Dentistry · Salt Lake City, UT
Charles C Wall DDS is a General Practice Dentistry organization in Salt Lake City, UT (NPI 1306060306).
Provider details
- NPI number
- 1306060306
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Charles Wall, Owner(801) 278-3864
- License
- 51343669922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2200 East 4500 South
Suite 240
Salt Lake City, UT 84117
Phone: (801) 278-3864
Fax: (801) 278-3868
Street-level locationGet directions
Mailing address
2200 East 4500 South
Salt Lake City, UT 84117
Other names (DBA / former)
- Doing business as
- Wall Family Dentistry
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2008-07-22
Frequently asked questions
- What is Charles C Wall DDS's NPI number?
- Charles C Wall DDS's National Provider Identifier (NPI) is 1306060306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles C Wall DDS?
- Charles C Wall DDS is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Charles C Wall DDS located?
- Charles C Wall DDS's practice location on file with NPPES is 2200 East 4500 South, Salt Lake City, UT 84117.
- What is Charles C Wall DDS's phone number?
- The practice phone number listed in the NPPES registry for Charles C Wall DDS is (801) 278-3864.
- Who is the authorized official for Charles C Wall DDS?
- The authorized official listed on Charles C Wall DDS's NPPES record is Charles Wall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles C Wall DDS's NPI active?
- Yes — Charles C Wall DDS's NPI (1306060306) is active in the NPPES registry as of the last update on 2008-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.