Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUSTIN GUY WALLACE, DDS
Active Sole ProprietorDR. DUSTIN GUY WALLACE, DDS is a General Dentistry healthcare provider located in PINE BLUFF, Arkansas. NPI 1770932808 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PINE BLUFF, AR
Registration Details
- NPI Number
- 1770932808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2016 (10.194347338071 yrs)
- Last Updated
- Mar 20, 2018
- Licenses
-
32331 (TX)4095 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2801 S OLIVE STPINE BLUFF, AR, 716035433Browse AR providers · Browse ZIP 71603
- Phone
- 8706634180
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in PINE BLUFF, AR
| Name | Credential | NPI |
|---|---|---|
| DR. KIM KOSMITIS | D.D.S. | 1770565921 |
| DR. RAY E COLCLASURE | D.D.S. | 1962420067 |
| MICHAEL D CLARK | DDS | 1164432340 |
| DR. MAXWELL U FLEMING JR. | DDS | 1194839340 |
| DR. WILLIAM T SHEPHERD | D.D.S. | 1104908128 |
| DR. J. GREG TEMPLE | DDS | 1477630341 |
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.