Robert Edward Wallace in Salem - General Practice

Robert Edward Wallace - NPI 1578564720

Robert Edward Wallace is a General Practice in Salem, Virginia. Robert Edward Wallace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Edward Wallace is 1578564720. The last update date is 2007-07-08.

Robert Edward Wallace's current location address is 425 Apperson Dr, Salem, Virginia. You can contact this provider via phone number 5403875817. The mailing address for Robert Edward Wallace is 425 Apperson Dr, Salem, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Edward Wallace
Address 425 Apperson Dr, Salem, Virginia
Phone Number 5403875817
Fax Number
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1578564720
Provider Enumeration Date 2005-08-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 425 Apperson Dr
City Salem
State Virginia (VA)
Post Code 241537026
Phone Number 5403875817
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 401003442
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 Robert Edward Wallace

What is the unique identification code assigned to Robert Edward Wallace by the Centers for Medicare & Medicaid Services?

The Robert Edward Wallace has been issued the NPI (National Provider Identifier) 1578564720. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert Edward Wallace's facilities are situated?

The facilities of Robert Edward Wallace are physically located at the following address: 425 Apperson Dr, Salem, VA, 241537026.

What is the Robert Edward Wallace's area of specialization and corresponding taxonomy classification?

The Robert Edward Wallace's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1578564720 to Robert Edward Wallace?

The Robert Edward Wallace received its 1578564720 assignment from the Centers for Medicare & Medicaid Services on 2005-08-09.

As of what date was the information regarding Robert Edward Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert Edward Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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