Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATH R WALLACE
Active Sole ProprietorHEATH R WALLACE is a Dentist healthcare provider located in WESTON, Ohio. NPI 1811010069 is currently active in the NPPES registry. Verify at CMS.
Dentist · WESTON, OH
Registration Details
- NPI Number
- 1811010069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.328371278891 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30-022208 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13160 MAIN STREETWESTON, OH, 43569Browse OH providers · Browse ZIP 43569
- Phone
- 4196692839
- Primary Specialty
-
Dentist
122300000X
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.