Individual provider · Type 1 NPI
Felder E. Wallace, DDS
General Practice Dentistry · Hattiesburg, MS
NPI number
1508014176
Active
Practice location
6194 Hwy 98 West
Hattiesburg, MS 39402
Fax (601) 264-5013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 1771-77 (MS) |
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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- David M. Moore, DMDGeneral Practice Dentistry Hattiesburg, MS NPI 1114138971
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About NPI 1508014176
Felder E. Wallace, DDS's National Provider Identifier is 1508014176, issued on Sep 8, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 8, 2008.