Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ANDREA L WALLACE, D.M.D.
ActiveMRS. ANDREA L WALLACE, D.M.D. is a General Dentistry healthcare provider located in EMMETT, Idaho. NPI 1871608604 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EMMETT, ID
Registration Details
- NPI Number
- 1871608604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2006 (19.966375388337 yrs)
- Last Updated
- Jul 9, 2007
- License
-
D-3656 (ID)
Practice Information
- Address
-
2003 S PLAZA RDEMMETT, ID, 836179180Browse ID providers · Browse ZIP 83617
- Phone
- 2083653534
- Fax
- 2083656231
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in EMMETT, ID
| Name | Credential | NPI |
|---|---|---|
| DR. SHON DEWANE ROOKS | D.D.S. | 1376592337 |
| DARREN K WALLACE | D.M.D. | 1841305646 |
| DR. WARREN RICHARD WILLIS | D.M.D | 1568535011 |
| KELSEY PETERSON | DMD | 1396069712 |
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.