John David Wallace in Dallas - Oral And Maxillofacial Surgery

John David Wallace - NPI 1811978349

John David Wallace is a Oral And Maxillofacial Surgery in Dallas, Texas. John David Wallace practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John David Wallace is 1811978349. The last update date is 2023-06-16.

John David Wallace's current location address is 8315 Walnut Hill Ln Ste 120, Dallas, Texas. You can contact this provider via phone number 2143639946 and fax number 2143891953. The mailing address for John David Wallace is 8315 Walnut Hill Ln Ste 120, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John David Wallace
Address 8315 Walnut Hill Ln Ste 120, Dallas, Texas
Phone Number 2143639946
Fax Number 2143891953
Sole Proprietor N
Credentials DDS, MD

NPI Number Detail

NPI Number 1811978349
Provider Enumeration Date 2005-11-10
Last Updated Date 2023-06-16

Provider Mailing Address Detail

Address 8315 Walnut Hill Ln Ste 120
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1750242-02 TX --

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FAQs about John David Wallace

What is the unique 10-digit identifier code assigned to John David Wallace by the Centers for Medicare & Medicaid Services?

The John David Wallace has been issued the NPI (National Provider Identifier) 1811978349 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John David Wallace?

The John David Wallace is physically situated at 8315 Walnut Hill Ln Ste 120, in the city of Dallas, state of TX, with the postal code 752314218.

What is John David Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John David Wallace is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did John David Wallace receive its 1811978349 assignment from the Centers for Medicare & Medicaid Services?

The John David Wallace was assigned its 1811978349 on 2005-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to John David Wallace last refreshed?

The information related to the John David Wallace, including its address, specialty, and other relevant details, was last updated on 2023-06-16.

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