Jeffrey W Wallace is a Dentist in Townshend, Vermont. Jeffrey W Wallace practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey W Wallace is 1821014838. The last update date is 2007-07-08.
Jeffrey W Wallace's current location address is Po Box 262, Townshend, Vermont. You can contact this provider via phone number 8023654313. The mailing address for Jeffrey W Wallace is Po Box 262, Townshend, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey W Wallace |
|---|---|
| Address | Po Box 262, Townshend, Vermont |
| Phone Number | 8023654313 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821014838 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 262 |
|---|---|
| City | Townshend |
| State | Vermont (VT) |
| Post Code | 53530262 |
| Phone Number | 8023654313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 988 |
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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 identification code assigned to Jeffrey W Wallace by the Centers for Medicare & Medicaid Services?
The Jeffrey W Wallace has been issued the NPI (National Provider Identifier) 1821014838, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey W Wallace's facilities are situated?
The facilities of Jeffrey W Wallace are physically located at the following address: Po Box 262, Townshend, VT, 53530262.
What is the Jeffrey W Wallace's specialty and taxonomy code?
The Jeffrey W Wallace's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Jeffrey W Wallace receive its 1821014838 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey W Wallace was assigned its 1821014838 by the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date were the Jeffrey W Wallace's details last updated?
The information pertaining to the Jeffrey W Wallace, including its address, specialty, and other details, was most recently updated on 2007-07-08.