Tanya C. Wall, DDS
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2006
- Practice address
- 9143 Philips Hwy, Ste 515, Jacksonville, FL 32256
- Practice phone
- Call (904) 395-4840
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lakeside Dental Surgery Center
Surgery Center - Medicare-Certified · Jacksonville, Florida
Find Tanya Wall's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Tanya C. Wall is a pediatric dentist in Jacksonville, Florida
Tanya Wall practices at Lakeside Dental Surgery Center in Jacksonville, Florida.
Tanya Wall's NPI, 1063528586, was assigned on August 21, 2006. Tanya Wall holds Florida license DN15601.
- NPI
- 1063528586NPI Registry (opens in a new tab)
- NPI enumeration date
- August 21, 2006
- NPI status
- Active
- Practice phone
- (904) 395-4840
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Tanya C. Wall practices at Lakeside Dental Surgery Center in Jacksonville, Florida
Tanya Wall's primary practice is Lakeside Dental Surgery Center, at 9143 Philips Hwy, Ste 515, Jacksonville, FL 32256. The practice phone is (904) 395-4840.
- Lakeside Dental Surgery Center9143 Philips Hwy, Ste 515, Jacksonville, FL 32256Phone(904) 395-4840
Source: Dmand AI Affiliation Data
Tanya C. Wall is affiliated with 1 site of care
Tanya Wall's primary practice is Lakeside Dental Surgery Center in Jacksonville, Florida.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Tanya C. Wall's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Tanya Wall practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lakeside Dental Surgery Center | Available with a free account |
Source: Dmand AI Technology Install Data
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Tanya C. Wall is one of 315 pediatric dentists in Florida
Pediatric dentistry is Tanya Wall's primary specialty in the NPI Registry, under taxonomy code 1223P0221X. Tanya Wall is licensed in Florida.
Specialties and state licenses
- Pediatric dentist, FloridaPrimary
Pediatric dentists near Tanya Wall
Counts of pediatric dentists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Tanya C. Wall's patients have a median age of 5
Across all payers, Dmand AI patient panel data puts Tanya Wall's median patient age at 5, with 100% women.
Tanya Wall's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 5
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Tanya C. Wall's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Tanya C. Wall
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Tanya C. Wall's NPI number?
Tanya C. Wall's NPI number is 1063528586. It was assigned on August 21, 2006, and it is active in the NPI Registry.
What does Tanya C. Wall specialize in?
Tanya C. Wall is a pediatric dentist in Jacksonville, Florida. The primary specialty in the NPI Registry is Pediatric Dentist (taxonomy code 1223P0221X).
Where does Tanya C. Wall practice?
Tanya Wall practices at 9143 Philips Hwy, Ste 515, Jacksonville, FL 32256. Tanya Wall's primary practice is Lakeside Dental Surgery Center in Jacksonville, Florida.
What is Tanya C. Wall's office phone number?
The practice phone on file for Tanya Wall is (904) 395-4840.
What is Tanya C. Wall's medical license number?
Tanya Wall holds Florida license DN15601.
How long has Tanya C. Wall been practicing?
Tanya Wall's NPI was assigned in 2006.
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