Individual provider · Type 1 NPI

Ben James Wallace Jr., DDS

Dentist · Chicago, IL

NPI number 1407916877 Active

Practice location

110 E 79th St
Chicago, IL 60619-2302

Mailing address

225 Moray Ct
Crete, IL 60417-1127

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

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…

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About NPI 1407916877

Ben James Wallace Jr., DDS's National Provider Identifier is 1407916877, issued on Dec 8, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.