IndividualActive
William Wall, D.D.S.
NPI 1891880720 · Oral and Maxillofacial Pathology Dentistry · Norcross, GA
Provider details
- NPI number
- 1891880720
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6817 (GA)
Specialties & taxonomies
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
5139 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-1638
Phone: (770) 448-0966
Fax: (770) 448-8549
Street-level locationGet directions
Mailing address
5139 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-1638
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.