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 |
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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 |
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Provider Enumeration Date | 2005-11-10 |
Last Updated Date | 2023-06-16 |
Provider Mailing Address Detail
Address | 8315 Walnut Hill Ln Ste 120 |
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City | Dallas |
State | Texas (TX) |
Post Code | 752314218 |
Phone Number | 2143639946 |
Fax Number | 2143891953 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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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 | -- |
Post Comment/ Review Below
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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