Organization · Type 2 NPI

Michael J. Wallace D.d.s.

General Practice Dentistry · Edmond, OK

NPI number 1669519559 Active

Practice location

1600 E 19th St, Suite 301
Edmond, OK 73013-6622

Call (405) 340-0411 Map

Fax (405) 340-3217

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5801 (OK)

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 1669519559

Michael J. Wallace D.d.s.'s National Provider Identifier is 1669519559, issued on Jan 31, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Edmond, OK. The record was last updated on Aug 22, 2020.