Wayne Carroll Wallace in Cincinnati - General Practice
Wayne Carroll Wallace - NPI 1154460459
Wayne Carroll Wallace is a General Practice in Cincinnati, Ohio. Wayne Carroll Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne Carroll Wallace is 1154460459. The last update date is 2014-11-06.
Wayne Carroll Wallace's current location address is 3972 Red Bank Rd, Cincinnati, Ohio. You can contact this provider via phone number 5135619900 and fax number 5135619902. The mailing address for Wayne Carroll Wallace is 3972 Red Bank Rd, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Carroll Wallace |
|---|---|
| Address | 3972 Red Bank Rd, Cincinnati, Ohio |
| Phone Number | 5135619900 |
| Fax Number | 5135619902 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154460459 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2014-11-06 |
Provider Mailing Address Detail
| Address | 3972 Red Bank Rd |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452273425 |
| Phone Number | 5135619900 |
| Fax Number | 5135619902 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19098 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 815854 | OH | -- |
Post Comment/ Review Below
What is the Wayne Carroll Wallace's 1154460459?
The Wayne Carroll Wallace's NPI (National Provider Identifier) Number is 1154460459. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wayne Carroll Wallace located?
The Wayne Carroll Wallace is located at 3972 Red Bank Rd, Cincinnati, OH 452273425.
What is the area of specialization for Wayne Carroll Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wayne Carroll Wallace is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154460459 to Wayne Carroll Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1154460459 to Wayne Carroll Wallace on 2007-02-05.
When was the information related to Wayne Carroll Wallace most recently updated or refreshed?
The details pertaining to the Wayne Carroll Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-11-06.
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