Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jesserwallddspa

Q: What type of organization is Jesserwallddspa?

Jesserwallddspa is registered in NPPES as a Dentist (its primary provider taxonomy).

Dentist in Danville, VA · enumerated 2008 · authorized official Jesse Wall, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104090067

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Jesserwallddspa

Practice address 1045 Main St, Suite 6, Danville, VA, 24541

Phone (434) 792-8622

Enumeration date Apr 22, 2008

Last updated in NPPES Apr 22, 2008

Taxonomy & classification

122300000X Dentist Dental Providers · License 5098 (VA) Primary

Authorized official

Name Jesse Wall

Title President

Phone (434) 792-1512

Other identifiers

Identifier	Type	State	Issuer
5098	Other	VA	VA BOARDOF DENTISTRY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Jesserwallddspa?

Jesserwallddspa is registered in NPPES as a Dentist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-22.