John Dean Wallace in Santee - General Practice

John Dean Wallace - NPI 1629241070

John Dean Wallace is a General Practice in Santee, California. John Dean Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Dean Wallace is 1629241070. The last update date is 2008-04-08.

John Dean Wallace's current location address is 9913 Mission Gorge Rd Unit 1, Santee, California. You can contact this provider via phone number 6194483214. The mailing address for John Dean Wallace is 9913 Mission Gorge Rd Unit 1, Santee, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Dean Wallace
Address 9913 Mission Gorge Rd Unit 1, Santee, California
Phone Number 6194483214
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1629241070
Provider Enumeration Date 2008-04-08
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 9913 Mission Gorge Rd Unit 1
City Santee
State California (CA)
Post Code 920713843
Phone Number 6194483214
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 22186
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about John Dean Wallace

What is the John Dean Wallace's unique identification number?

The John Dean Wallace has been assigned the NPI (National Provider Identifier) Number 1629241070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where John Dean Wallace is physically located?

The John Dean Wallace is physically situated at the following address: 9913 Mission Gorge Rd Unit 1, Santee, CA, 920713843.

What is John Dean Wallace'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 John Dean Wallace is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the John Dean Wallace receive the assignment of its 1629241070 from the Centers for Medicare & Medicaid Services?

The John Dean Wallace was issued its 1629241070 by the Centers for Medicare & Medicaid Services on 2008-04-08.

When was the John Dean Wallace's information last updated?

The John Dean Wallace's information was last updated on 2008-04-08.

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