Individual provider · Type 1 NPI
David Allen Wallace, DDS, MS
Oral and Maxillofacial Surgery (Dentist) · Princeton, WV
NPI number
1386646206
Active
Practice location
206 S Walker St
Princeton, WV 24740-2747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1880 (WV) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401003440 (VA) |
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.
About NPI 1386646206
David Allen Wallace, DDS, MS's National Provider Identifier is 1386646206, issued on Aug 11, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Princeton, WV. The record was last updated on Jul 13, 2026.