Carole A. Wallace, D.D.S.

General Practice Dentistry · Red Bank, NJ

Individual Active NPI

NPI number 1043429368

Practice location

82 Bridge Ave
Red Bank, NJ 07701-1160
Phone
(732) 530-2662

Open in Google Maps

NPI record

NPI
1043429368
Entity type
Individual (Type 1)
Enumeration date
May 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019148 NJ

Mailing address

64 Windsor Dr
Eatontown, NJ 07724-2165
Phone
(732) 389-2454

About Dr. Wallace

Carole A. Wallace, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 82 Bridge Ave, Red Bank, NJ 07701-1160. The NPI number 1043429368 was assigned on May 22, 2007 and the record was last updated on July 8, 2007.

Dr. Wallace lists a license in the registry: #019148 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carole A. Wallace, D.D.S.?

The NPI number is 1043429368.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (732) 530-2662.

Where is Dr. Wallace located?

82 Bridge Ave, Red Bank, NJ 07701-1160.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Red Bank

All General Practice Dentistry providers in Red Bank, NJ →