Individual provider · Type 1 NPI

Robert Raymond Wallace, DMD

General Practice Dentistry · Greenville, SC

NPI number 1760405476 Active

Practice location

40 Creekview Ct
Greenville, SC 29615-4800

Fax (864) 676-9859

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1774 (SC)

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 1760405476

Robert Raymond Wallace, DMD's National Provider Identifier is 1760405476, issued on Jul 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Greenville, SC. The record was last updated on Jul 8, 2007.