Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS M WALLEN
Active Sole ProprietorDOUGLAS M WALLEN is a General Dentistry healthcare provider located in CHAMPAIGN, Illinois. NPI 1407010176 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1407010176
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2008 (18.064652506253 yrs)
- Last Updated
- Jul 11, 2008
- License
-
019020653 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2502 GALEN DRSUITE 103CHAMPAIGN, IL, 618217045Browse IL providers · Browse ZIP 61821
- Phone
- 2173660050
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| YUDONG XU | DMD | 1245229822 |
| DR. ROBERT BENJAMIN SCOTT | D.M.D. | 1033133053 |
| DR. GREGORY PAUL MARTIN | D.D.S. | 1588677082 |
| DR. JEFFREY TODD BRUNSON | DDS | 1861509622 |
| DR. WILLIAM CASEY DANKLE | DDS | 1831200302 |
| DR. JOSEPH ALBERT MADURA | D.D.S. | 1316041338 |
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.