IndividualActive
Justin Wall, DMD
NPI 1720874753 · General Practice Dentistry · Las Vegas, NV
Justin Wall, DMD is a General Practice Dentistry provider in Las Vegas, NV (NPI 1720874753).
Provider details
- NPI number
- 1720874753
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 8165 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4235 E Charleston Blvd
Las Vegas, NV 89104-6695
Phone: (702) 505-9180
Street-level locationGet directions
Mailing address
2039 Shadow Brook Way
Henderson, NV 89074-4184
Registry dates
- Enumerated
- 2025-04-16
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Justin Wall's NPI number?
- Justin Wall's National Provider Identifier (NPI) is 1720874753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Wall's specialty?
- Justin Wall is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Justin Wall located?
- Justin Wall's practice location on file with NPPES is 4235 E Charleston Blvd, Las Vegas, NV 89104-6695.
- What is Justin Wall's phone number?
- The practice phone number listed in the NPPES registry for Justin Wall is (702) 505-9180.
- Is Justin Wall's NPI active?
- Yes — Justin Wall's NPI (1720874753) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.