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

Dr. Shannon Danielle Wall, DMD

Individual provider General Practice Dentistry · NPI 1366013930

Dr. Shannon Danielle Wall, DMD is a General Practice Dentistry in Hazelwood, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

8430 Pershall Rd
Hazelwood, MO 63042-3075
Phone: (314) 521-5678
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2021021159 (MO)

Record details

NPI number1366013930
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 6, 2021
Last updated in NPPESJuly 6, 2021
Certification dateJuly 1, 2021
Mailing address8430 Pershall Rd, Hazelwood, MO 63042-3075

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