D & A Wallace, Inc. is a Dentist in Emmett, Idaho. D & A Wallace, Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for D & A Wallace, Inc. is 1144498437. The last update date is 2008-02-20.
D & A Wallace, Inc.'s current location address is 2003 E Quail Run Rd, Emmett, Idaho. You can contact this provider via phone number 2083653534 and fax number 2083656231. The mailing address for D & A Wallace, Inc. is 2003 E Quail Run Rd, Emmett, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | D & A Wallace, Inc. |
|---|---|
| Address | 2003 E Quail Run Rd, Emmett, Idaho |
| Phone Number | 2083653534 |
| Fax Number | 2083656231 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY/ |
|---|---|
| Authorized Official Name | Wallace Layne Andrea |
| Credentials | D.M.D. |
| Telephone Number | 2083653534 |
NPI Number Detail
| NPI Number | 1144498437 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | 2003 E Quail Run Rd |
|---|---|
| City | Emmett |
| State | Idaho (ID) |
| Post Code | 836175059 |
| Phone Number | 2083653534 |
| Fax Number | 2083656231 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3656 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8071026 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to D & A Wallace, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The D & A Wallace, Inc. has been assigned the NPI (National Provider Identifier) 1144498437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the D & A Wallace, Inc. located?
The D & A Wallace, Inc. is located at 2003 E Quail Run Rd, Emmett, ID 836175059.
What is D & A Wallace, Inc.'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 D & A Wallace, Inc. is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When did D & A Wallace, Inc. receive its 1144498437 assignment?
The D & A Wallace, Inc. was assigned its 1144498437 on 2008-02-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding D & A Wallace, Inc. most recently updated?
The details pertaining to the D & A Wallace, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-02-20.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA