Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID ALLEN WALLACE, DDS, MS
ActiveDR. DAVID ALLEN WALLACE, DDS, MS is a Oral & Maxillofacial Surgery healthcare provider located in PRINCETON, West Virginia. NPI 1386646206 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PRINCETON, WV
Registration Details
- NPI Number
- 1386646206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2005 (20.969202536446 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
1880 (WV)0401003440 (VA)
Practice Information
- Address
-
206 S WALKER STPRINCETON, WV, 247402747Browse WV providers · Browse ZIP 24740
- Phone
- 3044252611
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
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.