Individual provider · Type 1 NPI

Ellie Wallace, DDS

General Practice Dentistry · Cadillac, MI

NPI number 1124850763 Active

Practice location

7800 US Highway 131 S
Cadillac, MI 49601-7080

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901602301 (MI)

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 1124850763

Ellie Wallace, DDS's National Provider Identifier is 1124850763, issued on Aug 14, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cadillac, MI. The record was last updated on Aug 14, 2024.