Deborah S Wallace in Dover - General Practice
Deborah S Wallace - NPI 1124195359
Deborah S Wallace is a General Practice in Dover, Tennessee. Deborah S Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Deborah S Wallace is 1124195359. The last update date is 2007-07-08.
Deborah S Wallace's current location address is 445 Highway 79, Dover, Tennessee. You can contact this provider via phone number 9312328287 and fax number 9312322310. The mailing address for Deborah S Wallace is 445 Highway 79, Dover, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah S Wallace |
|---|---|
| Address | 445 Highway 79, Dover, Tennessee |
| Phone Number | 9312328287 |
| Fax Number | 9312322310 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1124195359 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 445 Highway 79 |
|---|---|
| City | Dover |
| State | Tennessee (TN) |
| Post Code | 370586941 |
| Phone Number | 9312328287 |
| Fax Number | 9312322310 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS3823 |
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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 unique 10-digit identifier code issued to Deborah S Wallace by the Centers for Medicare & Medicaid Services?
The Deborah S Wallace has been assigned the NPI (National Provider Identifier) 1124195359 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Deborah S Wallace is geographically located?
The Deborah S Wallace is physically situated at the following location: 445 Highway 79, Dover, TN, 370586941.
What is the Deborah S Wallace's specialty and taxonomy code?
The Deborah S Wallace's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124195359 to Deborah S Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1124195359 to Deborah S Wallace on 2006-11-30.
As of what date were the details pertaining to Deborah S Wallace last refreshed?
The information related to the Deborah S Wallace, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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