Kevin Bruce Wallace is a Dentist in Ocala, Florida. Kevin Bruce Wallace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin Bruce Wallace is 1316960131. The last update date is 2011-11-02.
Kevin Bruce Wallace's current location address is 1107 S.e. 24 Terrace, Ocala, Florida. You can contact this provider via phone number 3528679890 and fax number 3526227616. The mailing address for Kevin Bruce Wallace is 1107 S.e. 24 Terrace, Ocala, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Bruce Wallace |
|---|---|
| Address | 1107 S.e. 24 Terrace, Ocala, Florida |
| Phone Number | 3528679890 |
| Fax Number | 3526227616 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1316960131 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 1107 S.e. 24 Terrace |
|---|---|
| City | Ocala |
| State | Florida (FL) |
| Post Code | 34471 |
| Phone Number | 3528679890 |
| Fax Number | 3526227616 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN15774 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Kevin Bruce Wallace by the Centers for Medicare & Medicaid Services?
The Kevin Bruce Wallace has been assigned the NPI (National Provider Identifier) 1316960131 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin Bruce Wallace located?
The Kevin Bruce Wallace is located at 1107 S.E. 24 Terrace, Ocala, FL 34471.
What is Kevin Bruce Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Bruce Wallace is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Kevin Bruce Wallace receive the assignment of its 1316960131 from the Centers for Medicare & Medicaid Services?
The Kevin Bruce Wallace was issued its 1316960131 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details pertaining to Kevin Bruce Wallace last refreshed?
The information related to the Kevin Bruce Wallace, including its address, specialty, and other relevant details, was last updated on 2011-11-02.