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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALLACE TAYLOR VANNORTWICK, D.D.S.

Active Sole Proprietor

DR. WALLACE TAYLOR VANNORTWICK, D.D.S. is a Pediatric Dentistry healthcare provider located in BATON ROUGE, Louisiana. NPI 1427195254 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · BATON ROUGE, LA

Registration Details

NPI Number
1427195254
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2007 (19.504371766675 yrs)
Last Updated
Jul 8, 2007
Licenses
3211 (LA)
DN 8075 (FL)
Sole Proprietor
Yes

Practice Information

Address
7942 GOODWOOD BLVD
BATON ROUGE, LA, 708067629
Browse LA providers · Browse ZIP 70806
Phone
2259251517
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in BATON ROUGE, LA

Name Credential NPI
DR. MICHAEL J. MAGINNIS D.D.S., M.S. 1184627788
DR. RICHARD S APPLETON D.D.S.,M.S. 1114075710
DR. TYLER PAUL LASSEIGNE 1679776454
DR. MICHAEL JOSEPH SHANNON DDS 1912103946
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.