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

Dr. Timothy Raymond Wall, DDS

Individual provider General Practice Dentistry · NPI 1932255627

Dr. Timothy Raymond Wall, DDS is a General Practice Dentistry in Pewaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
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

250 Clark St
Pewaukee, WI 53072-3529
Phone: (262) 695-9392
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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 3951-015 (WI)

Record details

NPI number1932255627
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address250 Clark St, Pewaukee, WI 53072-3529

Other providers in Pewaukee