Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY ANTHONY WALLACE, DDS
Active Sole ProprietorMR. TERRY ANTHONY WALLACE, DDS is a General Dentistry healthcare provider located in JAMESVILLE, North Carolina. NPI 1306066345 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JAMESVILLE, NC
Registration Details
- NPI Number
- 1306066345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.310289466504 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4413 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2165 MAIN STJAMESVILLE, NC, 278469117Browse NC providers · Browse ZIP 27846
- Phone
- 2527921032
- Fax
- 2527922304
- Primary Specialty
-
General Dentistry
1223G0001X
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.