Individual provider · Type 1 NPI

Michael James Wallace, DDS

General Practice Dentistry · Green Bay, WI

NPI number 1124127279 Active

Practice location

1195 W Mason St
Green Bay, WI 54303-2045

Call (920) 498-3633 Map

Fax (920) 498-1099

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2515 (WI)

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.

2 other providers at this address

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About NPI 1124127279

Michael James Wallace, DDS's National Provider Identifier is 1124127279, issued on Sep 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.