Individual provider · Type 1 NPI

Dennis Leo Wallis, DDS

General Practice Dentistry · Coweta, OK

NPI number 1710064563 Active

Practice location

224 N Broadway
Coweta, OK 74429-2602

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3135 (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 1710064563

Dennis Leo Wallis, DDS's National Provider Identifier is 1710064563, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Coweta, OK. The record was last updated on Jul 8, 2007.