Individual provider · Type 1 NPI
Andrea L. Wallace, DMD
General Practice Dentistry · Emmett, ID
NPI number
1871608604
Active
Practice location
2003 S Plaza Rd
Emmett, ID 83617-9180
Fax (208) 365-6231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D-3656 (ID) |
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.
Another provider at this address
Other general practice dentistry providers in Emmett
- Shon Dewane Rooks, DDSGeneral Practice Dentistry Emmett, ID NPI 1376592337
- Kelsey Peterson, DMDGeneral Practice Dentistry Emmett, ID NPI 1396069712
- Warren Richard Willis, D.M.DGeneral Practice Dentistry Emmett, ID NPI 1568535011
- Darren K. Wallace, DMDGeneral Practice Dentistry Emmett, ID NPI 1841305646
About NPI 1871608604
Andrea L. Wallace, DMD's National Provider Identifier is 1871608604, issued on Aug 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Emmett, ID. The record was last updated on Jul 9, 2007.