Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SARAH ADE WALLACE, DMD
ActiveDR. SARAH ADE WALLACE, DMD is a Oral & Maxillofacial Surgery healthcare provider located in MOLINE, Illinois. NPI 1164733762 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MOLINE, IL
Registration Details
- NPI Number
- 1164733762
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2010 (16.166811620942 yrs)
- Last Updated
- Dec 4, 2020
- License
-
019028357 (IL)
Practice Information
- Address
-
7017 JOHN DEERE PARKWAY - SUITE 2BMOLINE, IL, 61265Browse IL providers · Browse ZIP 61265
- Phone
- 3097920513
- Fax
- 3097920534
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in MOLINE, IL
| Name | Credential | NPI |
|---|---|---|
| CARLETON SCOTT HLADY | DDS | 1356311088 |
| BRADLEY J LUTCHKA | — | 1780654202 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.