Individual provider · Type 1 NPI
Patrick L. Wallace, DDS
Oral and Maxillofacial Surgery (Dentist) · Ardmore, OK
Practice location
1119 Walnut Dr, Suite 2
Ardmore, OK 73401-2360
Fax (580) 226-9413
Mailing address
PO Box 108816
Oklahoma City, OK 73101-8816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4988 (OK) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
- Jamie L. Guthrie, DDS Inc, P.c.General Practice Dentistry Ardmore, OK NPI 1962586388
- Oms of Southern Oklahoma PLLCOral and Maxillofacial Surgery (Dentist) Ardmore, OK NPI 1447660063
- Jamie Lynn Guthrie, DDSGeneral Practice Dentistry Ardmore, OK NPI 1568550648
- Ron L. Graves, DDSOral and Maxillofacial Surgery (Dentist) Ardmore, OK NPI 1184615890
Other oral and maxillofacial surgery (dentist) providers in Ardmore
About NPI 1508857053
Patrick L. Wallace, DDS's National Provider Identifier is 1508857053, issued on Nov 3, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ardmore, OK. The record was last updated on Jan 13, 2014.