Individual provider · Type 1 NPI
Jacob Robert Wallock, DDS
General Practice Dentistry · Fond Du Lac, WI
NPI number
1902485725
Active
Practice location
145 S Marr St
Fond Du Lac, WI 54935-4408
Mailing address
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 1002568-15 (WI) |
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.
4 other providers at this address
Other general practice dentistry providers in Fond Du Lac
- John S. Phillips, DDSGeneral Practice Dentistry Fond Du Lac, WI NPI 1003839762
- Matthew French, DDSGeneral Practice Dentistry Fond Du Lac, WI NPI 1013356989
- Ted HwangGeneral Practice Dentistry Fond Du Lac, WI NPI 1023688066
- James Peter Keenan, DDSGeneral Practice Dentistry Fond Du Lac, WI NPI 1043342025
- Tony Van Tran, DMDGeneral Practice Dentistry Fond Du Lac, WI NPI 1063082170
- Paul V. Rickard, DDSGeneral Practice Dentistry Fond Du Lac, WI NPI 1144341108
- Daniel Strand Mahn, DDSGeneral Practice Dentistry Fond Du Lac, WI NPI 1154540987
- Cailyn Lloyd, DDSGeneral Practice Dentistry Fond Du Lac, WI NPI 1215948880
About NPI 1902485725
Jacob Robert Wallock, DDS's National Provider Identifier is 1902485725, issued on Apr 7, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jun 17, 2021.