Individual provider · Type 1 NPI

Kenneth Lee Wallace, DDS

General Practice Dentistry · Arlington, TX

NPI number 1053428680 Active

Practice location

4226 Little Rd
Arlington, TX 76016-5601

Call (817) 483-1133 Map

Fax (817) 483-0388

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14263 (TX)

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 1053428680

Kenneth Lee Wallace, DDS's National Provider Identifier is 1053428680, issued on Aug 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Arlington, TX. The record was last updated on Jul 8, 2007.