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

Charles Coleman Wall, DDS

Individual provider Dentist · NPI 1376985655

Charles Coleman Wall, DDS is a Dentist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2200 E 4500 S Ste 240
Salt Lake City, UT 84117-4437
Phone: (801) 278-3864
Fax: (801) 278-3868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5134366-9922 (UT)

Record details

NPI number1376985655
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 26, 2013
Last updated in NPPESJuly 26, 2013

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