Individual provider · Type 1 NPI
Michael J. Wallace, DDS
Dentist · Edmond, OK
Practice location
1617 E Danforth Rd
Edmond, OK 73034-3103
Fax (405) 340-3217
Mailing address
1617 E Danforth Road
Edmond, OK 73034-6622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 5801 (OK) |
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…
2 other providers at this address
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- Greg Brasher, DDSDentist Edmond, OK NPI 1073732012
- Ina Sukut, DDSDentist Edmond, OK NPI 1083456727
- Keith S. Quinn, DDSDentist Edmond, OK NPI 1134643380
- Reka KovacsDentist Edmond, OK NPI 1164353207
- John Garfield Polkinghorne, DDSDentist Edmond, OK NPI 1215139639
About NPI 1417014424
Michael J. Wallace, DDS's National Provider Identifier is 1417014424, issued on Jan 2, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Edmond, OK. The record was last updated on Jan 28, 2021.