Duane Leo Wallace is a Dentist in Rome, New York. Duane Leo Wallace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Duane Leo Wallace is 1437328713. The last update date is 2008-02-21.
Duane Leo Wallace's current location address is 63 Geiger Road, Rome, New York. You can contact this provider via phone number 3153392120 and fax number 3153392120. The mailing address for Duane Leo Wallace is 63 Geiger Road, Rome, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duane Leo Wallace |
|---|---|
| Address | 63 Geiger Road, Rome, New York |
| Phone Number | 3153392120 |
| Fax Number | 3153392120 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1437328713 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | 63 Geiger Road |
|---|---|
| City | Rome |
| State | New York (NY) |
| Post Code | 13441 |
| Phone Number | 3153392120 |
| Fax Number | 3153392120 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 29702 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 549904 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Duane Leo Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Duane Leo Wallace has been assigned the NPI (National Provider Identifier) 1437328713. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Duane Leo Wallace located?
The Duane Leo Wallace is located at 63 Geiger Road, Rome, NY 13441.
What is Duane Leo Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Duane Leo Wallace is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437328713 to Duane Leo Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1437328713 to Duane Leo Wallace on 2008-02-21.
As of what date was the information regarding Duane Leo Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Duane Leo Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-21.
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