Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY W WALLACE, DDS
ActiveDR. JEFFREY W WALLACE, DDS is a Dentist healthcare provider located in TOWNSHEND, Vermont. NPI 1821014838 is currently active in the NPPES registry. Verify at CMS.
Dentist · TOWNSHEND, VT
Registration Details
- NPI Number
- 1821014838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.118783811939 yrs)
- Last Updated
- Jul 8, 2007
- License
-
988 (VT)
Practice Information
- Address
-
74 GRAFTON RDTOWNSHEND, VT, 053530262Browse VT providers · Browse ZIP 05353
- Phone
- 8023654313
- 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.