Matt Wallace is a General Practice in Ventura, California. Matt Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matt Wallace is 1437113479. The last update date is 2007-07-08.
Matt Wallace's current location address is 9290 Telephone Rd, Ventura, California. You can contact this provider via phone number 8056719697. The mailing address for Matt Wallace is 9290 Telephone Rd, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matt Wallace |
|---|---|
| Address | 9290 Telephone Rd, Ventura, California |
| Phone Number | 8056719697 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1437113479 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9290 Telephone Rd |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930042601 |
| Phone Number | 8056719697 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 48566 |
|
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. |
|
Post Comment/ Review Below
What is the Matt Wallace's 1437113479?
The Matt Wallace's NPI (National Provider Identifier) Number is 1437113479. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Matt Wallace is geographically located?
The Matt Wallace is physically situated at the following location: 9290 Telephone Rd, Ventura, CA, 930042601.
What is Matt Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matt Wallace is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437113479 to Matt Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1437113479 to Matt Wallace on 2006-04-14.
When was the Matt Wallace's information last updated?
The Matt Wallace's information was last updated on 2007-07-08.
NPI Number: 1316921448
Address: 1001 Briggs Rd, Mount Laurel, NJ