Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek H. Wall DDS PA

Organization General Practice Dentistry · NPI 1255563946

Derek H. Wall DDS PA is a General Practice Dentistry in Lynn Haven, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 Ohio Ave
Lynn Haven, FL 32444-2351
Phone: (850) 265-3696
Fax: (850) 265-2699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN14056 (FL)

Record details

NPI number1255563946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Wall Dds Pa — President · (850) 265-3696
NPI enumeratedAugust 14, 2009
Last updated in NPPESAugust 14, 2009
Mailing address801 Ohio Ave, Lynn Haven, FL 32444-2351

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