Individual provider · Type 1 NPI

Joel Richard Wallace, DDS

General Practice Dentistry · Eagle River, AK

NPI number 1023496148 Active

Practice location

16727 Farm Avenue
Eagle River, AK 99577

Call (907) 694-4032 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X519 (AK)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1023496148

Joel Richard Wallace, DDS's National Provider Identifier is 1023496148, issued on May 8, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eagle River, AK. The record was last updated on May 8, 2015.