Debra Elaine Wallace in Centerville - Dental Hygienist
Debra Elaine Wallace - NPI 1962612168
Debra Elaine Wallace is a Dental Hygienist in Centerville, Massachusetts. Debra Elaine Wallace practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Debra Elaine Wallace is 1962612168. The last update date is 2007-07-08.
Debra Elaine Wallace's current location address is 611 Skunknet Rd, Centerville, Massachusetts. You can contact this provider via phone number 5085400303. The mailing address for Debra Elaine Wallace is 611 Skunknet Rd, Centerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Elaine Wallace |
|---|---|
| Address | 611 Skunknet Rd, Centerville, Massachusetts |
| Phone Number | 5085400303 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1962612168 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 611 Skunknet Rd |
|---|---|
| City | Centerville |
| State | Massachusetts (MA) |
| Post Code | 26322744 |
| Phone Number | 5085400303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 10273 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identification code issued to Debra Elaine Wallace by the Centers for Medicare & Medicaid Services?
The Debra Elaine Wallace has been assigned the NPI (National Provider Identifier) 1962612168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Debra Elaine Wallace's facilities are geographically located?
The facilities of Debra Elaine Wallace are physically situated at the following location: 611 Skunknet Rd, Centerville, MA, 26322744.
What is Debra Elaine Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Debra Elaine Wallace's area of specialization is Dental Hygienist, and the corresponding taxonomy code that categorizes this field of practice is 124Q00000X.
On what date did the Debra Elaine Wallace receive its 1962612168 assignment from the Centers for Medicare & Medicaid Services?
The Debra Elaine Wallace was assigned its 1962612168 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the Debra Elaine Wallace's information last updated?
The Debra Elaine Wallace's information was last updated on 2007-07-08.