What is Shannon Wall's NPI number?

Shannon Wall's National Provider Identifier (NPI) is 1366013930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Wall's specialty?

Shannon Wall is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Shannon Wall located?

Shannon Wall's practice location on file with NPPES is 8430 Pershall Rd, Hazelwood, MO 63042-3075.

What is Shannon Wall's phone number?

The practice phone number listed in the NPPES registry for Shannon Wall is (314) 521-5678.

Is Shannon Wall's NPI active?

Yes — Shannon Wall's NPI (1366013930) is active in the NPPES registry as of the last update on 2021-07-06.

IndividualActive

Shannon Wall, DMD

NPI 1366013930 · General Practice Dentistry · Hazelwood, MO

Shannon Wall, DMD is a General Practice Dentistry provider in Hazelwood, MO (NPI 1366013930).

Provider details

NPI number: 1366013930
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Female
Sole proprietor: No
License: 2021021159 (MO)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 2021021159 (MO)
Dental Providers

Profile Score

Established profile(62/100 index)

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

Registry tenure38% of score
4 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

8430 Pershall Rd

Hazelwood, MO 63042-3075

Phone: (314) 521-5678

Street-level locationGet directions

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Mailing address