Doctor profile · Federal record

Dr. Derek Wall, DDS

General Practice Dentistry · Lynn Haven, FL

  • NPI 1518046606
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
801 Ohio Avenue
Lynn Haven, FL 32444
(850) 265-3696

Credentials & registration

NPPES · NUCC
NPI registered
November 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Florida #DN14056

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1518046606. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$20
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
VOCO America Inc. 1 $19.55

By nature of payment

Food and Beverage
$20

Frequently asked questions

Auto-generated from federal data
What is Dr. Derek Wall's medical specialty?
Dr. Derek Wall practices General Practice Dentistry in Lynn Haven, FL.
Where does Dr. Derek Wall practice?
Dr. Derek Wall practices at 801 Ohio Avenue, Lynn Haven, FL 32444. Office phone: 8502653696.
What is Dr. Derek Wall's NPI?
Dr. Derek Wall's National Provider Identifier (NPI) is 1518046606, issued by NPPES.