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

Jesserwallddspa

Organization Dentist · NPI 1104090067

Jesserwallddspa is a Dentist in Danville, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008

Practice location Address checks out

1045 Main St Ste 6
Danville, VA 24541-1800
Phone: (434) 792-8622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5098 (VA)

Record details

NPI number1104090067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Wall — President · (434) 792-1512
NPI enumeratedApril 22, 2008
Last updated in NPPESApril 22, 2008
Mailing address1045 Main St, Suite 6, Danville, VA 24541-1800

Other providers in Danville