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
- Primary practice
-
801 Ohio Avenue
Lynn Haven, FL 32444
(850) 265-3696
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518046606. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| VOCO America Inc. | 1 | $19.55 |
By nature of payment
Frequently asked questions
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.