Ben James Wallace is a Dentist in Chicago, Illinois. Ben James Wallace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ben James Wallace is 1407916877. The last update date is 2007-07-08.
Ben James Wallace's current location address is 110 E 79th St, Chicago, Illinois. You can contact this provider via phone number 7734886000. The mailing address for Ben James Wallace is 110 E 79th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ben James Wallace |
|---|---|
| Address | 110 E 79th St, Chicago, Illinois |
| Phone Number | 7734886000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1407916877 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 E 79th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606192302 |
| Phone Number | 7734886000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Post Comment/ Review Below
What is the Ben James Wallace's unique identification number?
The Ben James Wallace has been assigned the NPI (National Provider Identifier) Number 1407916877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ben James Wallace's physical address?
The Ben James Wallace is physically located at 110 E 79Th St, in the city of Chicago, IL, with the postal code 606192302.
What is Ben James Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ben James Wallace is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407916877 to Ben James Wallace?
The Ben James Wallace received its 1407916877 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date were the details related to Ben James Wallace most recently updated or revised?
The information pertaining to Ben James Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.