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

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