IndividualActive
Matthew Walls, D.D.S.
NPI 1770639981 · General Practice Dentistry · Coweta, OK
Provider details
- NPI number
- 1770639981
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D5393 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 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
12627 S Highway 51
Coweta, OK 74429-6476
Phone: (918) 486-0039
Fax: (918) 486-0097
Street-level locationGet directions
Mailing address
12627 S Highway 51
Coweta, OK 74429-6476
Registry dates
- Enumerated
- 2007-01-28
- Last updated
- 2009-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.