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

PHILLIP W WALLACE DDS INC

Active Organization

PHILLIP W WALLACE DDS INC is a General Dentistry organization located in WILLOUGHBY, Ohio. NPI 1699140202 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WILLOUGHBY, OH

Registration Details

NPI Number
1699140202
Provider Type
Organization
NPI Issued
Dec 8, 2015 (10.661934082223 yrs)
Last Updated
Dec 8, 2015
License
30.016266 (OH)

Practice Information

Address
36001 EUCLID AVE
SUITE A-15
WILLOUGHBY, OH, 440944643
Browse OH providers · Browse ZIP 44094
Phone
4409465485
Fax
4409465810
Primary Specialty
General Dentistry
1223G0001X
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.