Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ROBERT WALLOCK, DDS
ActiveJACOB ROBERT WALLOCK, DDS is a General Dentistry healthcare provider located in FOND DU LAC, Wisconsin. NPI 1902485725 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FOND DU LAC, WI
Registration Details
- NPI Number
- 1902485725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2021 (5.3590484059168 yrs)
- Last Updated
- Jun 17, 2021
- License
-
1002568-15 (WI)
Practice Information
- Address
-
145 S MARR STFOND DU LAC, WI, 549354408Browse WI providers · Browse ZIP 54935
- Phone
- 9209229000
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH J SCHOLZ | DDS | 1528062452 |
| DR. STEPHEN P FORSYTH | DMD | 1518961390 |
| DR. WILLIAM E SHAW | D.D.S. | 1750386280 |
| GRADY M TWOHIG | DDS | 1518944529 |
| DR. STEVEN RALPH KINZIGER | D.D.S. | 1871534388 |
| DR. TODD J BELL | D.D.S. | 1629013875 |
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.