Individual provider · Type 1 NPI
Sarah Ade Wallace, DMD
Oral and Maxillofacial Surgery (Dentist) · Moline, IL
Practice location
7017 John Deere Parkway - Suite 2B
Moline, IL 61265
Fax (309) 792-0534
Mailing address
7017 John Deere Parkway- Suite 2B
Moline, IL 61265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019028357 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Moline
About NPI 1164733762
Sarah Ade Wallace, DMD's National Provider Identifier is 1164733762, issued on Jun 29, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Moline, IL. The record was last updated on Dec 4, 2020.