Mark A Wallace, D.D.S., L.L.C. in Rockville - General Practice
Mark A Wallace, D.D.S., L.L.C. - NPI 1891985974
Mark A Wallace, D.D.S., L.L.C. is a General Practice in Rockville, Maryland. Mark A Wallace, D.D.S., L.L.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark A Wallace, D.D.S., L.L.C. is 1891985974. The last update date is 2007-07-26.
Mark A Wallace, D.D.S., L.L.C.'s current location address is 1901 Research Blvd, Rockville, Maryland. You can contact this provider via phone number 3013090707 and fax number 3013098169. The mailing address for Mark A Wallace, D.D.S., L.L.C. is 1901 Research Blvd, Rockville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark A Wallace, D.D.S., L.L.C. |
|---|---|
| Address | 1901 Research Blvd, Rockville, Maryland |
| Phone Number | 3013090707 |
| Fax Number | 3013098169 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Wallace A Mark |
| Credentials | D.D.S. |
| Telephone Number | 3013090707 |
NPI Number Detail
| NPI Number | 1891985974 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 1901 Research Blvd |
|---|---|
| City | Rockville |
| State | Maryland (MD) |
| Post Code | 208503164 |
| Phone Number | 3013090707 |
| Fax Number | 3013098169 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5043 |
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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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What is the Mark A Wallace, D.D.S., L.L.C.'s 1891985974?
The Mark A Wallace, D.D.S., L.L.C.'s NPI (National Provider Identifier) Number is 1891985974. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark A Wallace, D.D.S., L.L.C.'s physical address?
The Mark A Wallace, D.D.S., L.L.C. is physically located at 1901 Research Blvd, in the city of Rockville, MD, with the postal code 208503164.
What is Mark A Wallace, D.D.S., L.L.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark A Wallace, D.D.S., L.L.C.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1891985974 assigned to Mark A Wallace, D.D.S., L.L.C.?
The Mark A Wallace, D.D.S., L.L.C. was issued its 1891985974 on 2007-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mark A Wallace, D.D.S., L.L.C. most recently updated or revised?
The details related to Mark A Wallace, D.D.S., L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2007-07-26.