Individual provider · Type 1 NPI

Joni K. Wallace

General Practice Dentistry · Austin, TX

NPI number 1487871968 Active

Practice location

2414 Exposition Blvd, Suite B-105
Austin, TX 78703

Call (512) 236-1611 Map

Fax (512) 236-0767

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X18163 (TX)

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 1487871968

Joni K. Wallace's National Provider Identifier is 1487871968, issued on Apr 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.