Douglas W. Wallace in Fairfield - Oral & Maxillofacial Surgery

Douglas W. Wallace - NPI 1376698753

Douglas W. Wallace is a Oral & Maxillofacial Surgery in Fairfield, Ohio. Douglas W. Wallace practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Douglas W. Wallace is 1376698753. The last update date is 2008-04-01.

Douglas W. Wallace's current location address is 5188 Winton Rd, Fairfield, Ohio. You can contact this provider via phone number 5138298080 and fax number 5138584290. The mailing address for Douglas W. Wallace is 5188 Winton Rd, Fairfield, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas W. Wallace
Address 5188 Winton Rd, Fairfield, Ohio
Phone Number 5138298080
Fax Number 5138584290
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1376698753
Provider Enumeration Date 2007-01-24
Last Updated Date 2008-04-01

Provider Mailing Address Detail

Address 5188 Winton Rd
City Fairfield
State Ohio (OH)
Post Code 450142900
Phone Number 5138298080
Fax Number 5138584290

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 30-01-6806
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

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FAQs about Douglas W. Wallace

What is the unique 10-digit identification code issued to Douglas W. Wallace by the Centers for Medicare & Medicaid Services?

The Douglas W. Wallace has been assigned the NPI (National Provider Identifier) 1376698753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Douglas W. Wallace?

The Douglas W. Wallace is situated at 5188 Winton Rd, in the city of Fairfield, state of OH, with the zip code 450142900.

What is Douglas W. Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?

The Douglas W. Wallace's area of specialization is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 204E00000X.

On what date was the 1376698753 assigned to Douglas W. Wallace?

The Douglas W. Wallace was issued its 1376698753 on 2007-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Douglas W. Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-01.

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