Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN D WALLACE DMD, PC
Active OrganizationKEVIN D WALLACE DMD, PC is a Pediatric Dentistry organization located in SPRINGFIELD, Missouri. NPI 1841404019 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1841404019
- Provider Type
- Organization
- NPI Issued
- May 9, 2007 (19.276387954341 yrs)
- Last Updated
- Aug 21, 2008
- License
-
014935 (MO)
Practice Information
- Address
-
1200 E WOODHURST DRSUITE 200-ASPRINGFIELD, MO, 658044257Browse MO providers · Browse ZIP 65804
- Phone
- 4178811123
- Fax
- 4178830812
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Organizations in SPRINGFIELD, MO
| Name | NPI |
|---|---|
| GLEN H PETTEWAY, D.D.S., P.C. | 1356700181 |
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.