Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JODY PAUL WALLACE, D.D.S.
ActiveDR. JODY PAUL WALLACE, D.D.S. is a General Dentistry healthcare provider located in GRAHAM, North Carolina. NPI 1740210103 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GRAHAM, NC
Registration Details
- NPI Number
- 1740210103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (19.970376821904 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7500 (NC)
Practice Information
- Address
-
2148 HIGHWAY 54GRAHAM, NC, 27253Browse NC providers · Browse ZIP 27253
- Phone
- 3365783884
- Fax
- 3365783814
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GRAHAM, NC
| Name | Credential | NPI |
|---|---|---|
| LARRY GRADY CAUSEY | D.D.S. | 1538104807 |
| DR. MARY MAKHLOUF | DMD | 1164450292 |
| DR. BRIAN A. BRENNEMAN | D.D.S. | 1538265293 |
| JEROME M CRAYLE | DDS | 1790876464 |
| DR. PHILLIP LANE SAVAGE | D.D.S. | 1629397302 |
| DR. MATTHEW PATRICK ELLISON | DDS | 1487065918 |
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.