Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TABITHA A WALLACE, RDH
ActiveDental Hygienist · LITTLE ROCK, AR
Registration Details
- NPI Number
- 1629348198
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2011 (14.317552993337 yrs)
- Last Updated
- Dec 30, 2011
- License
-
2217 (AR)
Practice Information
- Address
-
12921 CANTRELL ROADSUITE 101LITTLE ROCK, AR, 722231798Browse AR providers · Browse ZIP 72223
- Phone
- 5016643279
- Fax
- 5016645392
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in LITTLE ROCK, AR
| Name | Credential | NPI |
|---|---|---|
| CAROL ANN PIERCE | RDH | 1508932005 |
| KATHRYN DOWELL | RDH | 1689912644 |
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.