National Provider Identifier

Matthew Walla, D.D.S.

Matthew Walla, D.D.S. is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Amherst, NY and a listed phone number of (716) 832-1550.

NPI 1316227606Amherst, NYOrthodontics and Dentofacial Orthopedics Dentistry

Profile Overview

NPI
1316227606
Provider Type
Individual
Primary Specialty
Orthodontics and Dentofacial Orthopedics Dentistry
Enumeration Date
August 18, 2011
Last Updated
August 18, 2011

Practice Location

  • 3985 Main St
  • Amherst, NY 14226-3404

Phone: (716) 832-1550

Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
NPI
1316227606
Entity Type
Individual
Last Name
Walla
First Name
Matthew
Credential
D.D.S.
Mailing Street Address
3985 Main St
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3404
Mailing Country
US
Mailing Phone
(716) 832-1550
Practice Street Address
3985 Main St
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3404
Practice Country
US
Practice Phone
(716) 832-1550
Enumeration Date
August 18, 2011
Last Updated
August 18, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)