Individual provider · Type 1 NPI
Kevin D. Wallace, DMD PC
Prosthodontics · Springfield, MO
NPI number
1972750909
Active
Practice location
1200 E Woodhurst Dr Ste A200
Springfield, MO 65804-3745
Fax (417) 883-0812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 014935 (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.
Other prosthodontics providers in Springfield
About NPI 1972750909
Kevin D. Wallace, DMD PC's National Provider Identifier is 1972750909, issued on Aug 21, 2008. 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.