Individual provider · Type 1 NPI
Kevin Bruce Wallace, DMD
Dentist · Leesburg, FL
Practice location
949 N 14th St
Leesburg, FL 34748-3838
Mailing address
1107 S.e. 24 Terrace
Ocala, FL 34471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | DN15774 (FL) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
4 other providers at this address
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About NPI 1316960131
Kevin Bruce Wallace, DMD's National Provider Identifier is 1316960131, issued on Jul 25, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Leesburg, FL. The record was last updated on Nov 2, 2011.