Organization · Type 2 NPI

Kevin D Wallace Dmd, PC

Prosthodontics · Springfield, MO

NPI number 1841404019 Active

Practice location

1200 E Woodhurst Dr, Suite 200-A
Springfield, MO 65804-4257

Fax (417) 883-0812

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X014935 (MO)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1841404019

Kevin D Wallace Dmd, PC's National Provider Identifier is 1841404019, issued on May 9, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Springfield, MO. The record was last updated on Aug 21, 2008.