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

Dr. Tanya C Wall, DDS

Individual provider Pediatric Dentistry · NPI 1063528586

Dr. Tanya C Wall, DDS is a Pediatric Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

2255 Dunn Ave Bldg 700
Jacksonville, FL 32218
Phone: (904) 751-5126
Fax: (904) 751-5146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN15601 (FL)

Record details

NPI number1063528586
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESJanuary 8, 2019
Mailing addressPo Box 26948, Jacksonville, FL 32226

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