Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK L WALLACE, D.D.S.
ActiveDR. PATRICK L WALLACE, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in ARDMORE, Oklahoma. NPI 1508857053 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ARDMORE, OK
Registration Details
- NPI Number
- 1508857053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2005 (20.747449887202 yrs)
- Last Updated
- Jan 13, 2014
- License
-
4988 (OK)
Practice Information
- Address
-
1119 WALNUT DRSUITE 2ARDMORE, OK, 734012360Browse OK providers · Browse ZIP 73401
- Phone
- 5802261727
- Fax
- 5802269413
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| DR. RON L GRAVES | D.D.S. | 1184615890 |
| DR. PRESTON ALLEN MERCURIUS BANOUB | DMD | 1578138376 |
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.