Individual provider · Type 1 NPI

Michael Patrick Wallace, DMD

Dentist · St. Louis, MO

NPI number 1679585038 Active

Practice location

9225 Manchester Rd, Suite 101
St. Louis, MO 63144-2640

Fax (314) 968-0383

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	13992 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1679585038

Michael Patrick Wallace, DMD's National Provider Identifier is 1679585038, issued on Aug 13, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.