Individual provider · Type 1 NPI

Charles E. Wallace, DDS

General Practice Dentistry · Seattle, WA

NPI number 1063584746 Active

Practice location

3221 Eastlake Ave E Ste 130
Seattle, WA 98102-7125

Call (206) 633-5100 Map

Fax (206) 633-3667

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5882 (WA)

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 1063584746

Charles E. Wallace, DDS's National Provider Identifier is 1063584746, issued on Nov 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.