Individual provider · Type 1 NPI

Ashley Wallace, DMD

General Practice Dentistry · Groton, CT

NPI number 1417466236 Active

Practice location

1 Wahoo Ave
Groton, CT 06349-2324

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN1857727 (MA)

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 1417466236

Ashley Wallace, DMD's National Provider Identifier is 1417466236, issued on Sep 25, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Groton, CT. The record was last updated on Sep 25, 2017.