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

MICHAEL J. WALLACE D.D.S.

Active Organization

MICHAEL J. WALLACE D.D.S. is a General Dentistry organization located in EDMOND, Oklahoma. NPI 1669519559 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · EDMOND, OK

Registration Details

NPI Number
1669519559
Provider Type
Organization
NPI Issued
Jan 31, 2007 (19.537116957498 yrs)
Last Updated
Aug 22, 2020
License
5801 (OK)

Practice Information

Address
1600 E 19TH ST
SUITE 301
EDMOND, OK, 730136622
Browse OK providers · Browse ZIP 73013
Phone
4053400411
Fax
4053403217
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in EDMOND, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.