Organization · Type 2 NPI

John D. Wallace, Dds, Md, PA

Oral and Maxillofacial Surgery (Dentist) · Dallas, TX

NPI number 1356535314 Active

Practice location

8315 Walnut Hill Ln Ste 120
Dallas, TX 75231-4218

Call (214) 363-9946 Map

Fax (214) 389-1953

Mailing address

8315 Walnut Hill Ln, Suite 120
Dallas, TX 75231-4218

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	19862 (TX)

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.

2 other providers at this address

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NPI record

NPI: 1356535314
Entity type: Organization (Type 2)
Issued: Sep 4, 2007
Last updated: Jun 16, 2023
Status: Active

Other names

<unavail>
Dallas Oral Surgery Associates · doing business as
Dallas Oral Surgery Associates · doing business as

Authorized official

John D Wallace, DDS, MD
Doctor
(214) 334-7722

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About NPI 1356535314

John D. Wallace, Dds, Md, PA's National Provider Identifier is 1356535314, issued on Sep 4, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Jun 16, 2023.