Julie Wallace is a Dentist in Elk River, Minnesota. Julie Wallace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Julie Wallace is 1811068778. The last update date is 2007-07-08.
Julie Wallace's current location address is 303 Main Street, Elk River, Minnesota. You can contact this provider via phone number 7634419181 and fax number 7634413399. The mailing address for Julie Wallace is 303 Main Street, Elk River, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Wallace |
|---|---|
| Address | 303 Main Street, Elk River, Minnesota |
| Phone Number | 7634419181 |
| Fax Number | 7634413399 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811068778 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 303 Main Street |
|---|---|
| City | Elk River |
| State | Minnesota (MN) |
| Post Code | 55330 |
| Phone Number | 7634419181 |
| Fax Number | 7634413399 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D11036 |
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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 identifier code issued to Julie Wallace by the Centers for Medicare & Medicaid Services?
The Julie Wallace has been assigned the NPI (National Provider Identifier) 1811068778. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Julie Wallace?
The Julie Wallace is physically situated at 303 Main Street, in the city of Elk River, state of MN, with the postal code 55330.
What is Julie Wallace's area of expertise and its corresponding taxonomy classification?
The Julie Wallace's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Julie Wallace's 1811068778 issued?
The Julie Wallace's 1811068778 was issued on 2006-11-13.
When was the Julie Wallace's information last updated?
The Julie Wallace's information was last updated on 2007-07-08.