John D. Wallace, Dds, Md, Pa in Dallas - Oral And Maxillofacial Surgery

John D. Wallace, Dds, Md, Pa - NPI 1356535314

John D. Wallace, Dds, Md, Pa is a Oral And Maxillofacial Surgery in Dallas, Texas. John D. Wallace, Dds, Md, Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John D. Wallace, Dds, Md, Pa is 1356535314. The last update date is 2023-06-16.

John D. Wallace, Dds, Md, Pa's current location address is 8315 Walnut Hill Ln, Dallas, Texas. You can contact this provider via phone number 2143639946 and fax number 2143891953. The mailing address for John D. Wallace, Dds, Md, Pa is 8315 Walnut Hill Ln, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization John D. Wallace, Dds, Md, Pa
Address 8315 Walnut Hill Ln, Dallas, Texas
Phone Number 2143639946
Fax Number 2143891953
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Wallace D John
Credentials DDS, MD
Telephone Number 2143347722

NPI Number Detail

NPI Number 1356535314
Provider Enumeration Date 2007-09-04
Last Updated Date 2023-06-16

Provider Mailing Address Detail

Address 8315 Walnut Hill Ln
City Dallas
State Texas (TX)
Post Code 752314218
Phone Number 2143639946
Fax Number 2143891953

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 19862
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about John D. Wallace, Dds, Md, Pa

What is the unique 10-digit identification code assigned to John D. Wallace, Dds, Md, Pa by the Centers for Medicare & Medicaid Services?

The John D. Wallace, Dds, Md, Pa has been issued the NPI (National Provider Identifier) 1356535314, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John D. Wallace, Dds, Md, Pa is located?

The John D. Wallace, Dds, Md, Pa is situated at the following address: 8315 Walnut Hill Ln, Dallas, TX, 752314218.

What is John D. Wallace, Dds, Md, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John D. Wallace, Dds, Md, Pa's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356535314 to John D. Wallace, Dds, Md, Pa?

The Centers for Medicare & Medicaid Services originally issued the 1356535314 to John D. Wallace, Dds, Md, Pa on 2007-09-04.

When was the John D. Wallace, Dds, Md, Pa's information last updated?

The John D. Wallace, Dds, Md, Pa's information was last updated on 2023-06-16.

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