Organization · Type 2 NPI
David A. Wallace, Dds, Ms, Ltd.
Oral and Maxillofacial Surgery (Dentist) · Blacksburg, VA
NPI number
1356536593
Active
Practice location
3712 S Main St
Blacksburg, VA 24060-7017
Fax (540) 953-3096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 03440 (VA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1880 (WV) |
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 Blacksburg
About NPI 1356536593
David A. Wallace, Dds, Ms, Ltd.'s National Provider Identifier is 1356536593, issued on Sep 11, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Blacksburg, VA. The record was last updated on Sep 6, 2023.