Individual provider · Type 1 NPI

Phillip Wendell Wallace, DDS

General Practice Dentistry · Willoughby, OH

NPI number 1083759930 Active

Practice location

36001 Euclid Ave Ste A15
Willoughby, OH 44094-4643

Call (440) 946-5484 Map

Fax (440) 946-5810

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X16266 (OH)

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 1083759930

Phillip Wendell Wallace, DDS's National Provider Identifier is 1083759930, issued on Feb 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Willoughby, OH. The record was last updated on Jul 8, 2007.