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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW SEYMOUR WALLACE, DDS

Active

MATTHEW SEYMOUR WALLACE, DDS is a Dentist healthcare provider located in ROME, New York. NPI 1861706145 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROME, NY

Registration Details

NPI Number
1861706145
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2010 (16.022401900638 yrs)
Last Updated
Aug 8, 2012
License
055556 (NY)

Practice Information

Address
63 GEIGER RD
ROME, NY, 134414324
Browse NY providers · Browse ZIP 13441
Phone
3153392120
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in ROME, NY

Name Credential NPI
DR. JOHN A DESTITO D.D.S. 1548383359
DR. SHAMEEM WAHAB DDS 1962623116
DR. GURSIMRAT K JUDGE DDS 1023239365
DR. RUSSELL GEORGE MARRIOTT D.M.D. 1669681292
DR. DUANE LEO WALLACE DDS 1437328713
SAMANTHA TARDUGNO DMD 1740965359
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.