Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
R JEFFREY WALLACE, DDS
ActiveR JEFFREY WALLACE, DDS is a Dentist healthcare provider located in SEYMOUR, Tennessee. NPI 1285744151 is currently active in the NPPES registry. Verify at CMS.
Dentist · SEYMOUR, TN
Registration Details
- NPI Number
- 1285744151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.944735949927 yrs)
- Last Updated
- Oct 10, 2016
- License
-
D54694 (TN)
Practice Information
- Address
-
11135 CHAPMAN HWYSEYMOUR, TN, 378654857Browse TN providers · Browse ZIP 37865
- Phone
- 8655771963
- Fax
- 8655771014
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SEYMOUR, TN
| Name | Credential | NPI |
|---|---|---|
| GEALON A THOMAS | DDS | 1790895670 |
| DR. WILLIAM DAVID CAMPBELL | DDS | 1427189828 |
| DR. PATRICK CARL DANIEL | DMD | 1639358401 |
| DR. HEIDI LEIGH DANIEL | DMD | 1386808129 |
| DR. HALEY PAIGE JULIAN-HILL | DDS | 1013401777 |
| DR. COREY HILL | DDS | 1396239059 |
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.