Individual provider · Type 1 NPI

Douglas M. Wallen

General Practice Dentistry · Champaign, IL

NPI number 1407010176 Active

Practice location

2502 Galen Dr, Suite 103
Champaign, IL 61821-7045

Call (217) 366-0050 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019020653 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1407010176

Douglas M. Wallen's National Provider Identifier is 1407010176, issued on Jul 11, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Jul 11, 2008.