Jane Sueko Wallace, DDS
General Practice Dentistry · Jbsa Lackland, TX
Practice location
1100 Wilford Hall Loop, Bldg 4554Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236-9908
- Phone
- (210) 292-6225
NPI record
- NPI
- 1073500922
- Entity type
- Individual (Type 1)
- Enumeration date
- October 5, 2005
- Last updated
- July 31, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
015337 | MO |
Mailing address
1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638
- Phone
- (210) 292-6225
About Dr. Wallace
Jane Sueko Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 MDW/SGHC, Jbsa Lackland, TX 78236-9908. The NPI number 1073500922 was assigned on October 5, 2005 and the record was last updated on July 31, 2019.
Dr. Wallace lists a license in the registry: #015337 (MO) 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 Jane Sueko Wallace, DDS?
The NPI number is 1073500922.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (210) 292-6225.
Where is Dr. Wallace located?
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 MDW/SGHC, Jbsa Lackland, TX 78236-9908.
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 Jbsa Lackland
- Corydon Louis Doerr, DDS2261 Hughes Ave Ste 153
- Timothy Wayne Hatchett Sr., D.D.S.1100 Wilford Hall Loop Bldg 4554
- Kristina Reck, DMD59 DG-Af Postgraduate Dental School
- James Jude Renda, DMD, MS1100 Wilford Hall Loop
- Julie Van, D.M.D.1100 Wilford Hall Loop
- Vincent Archer, D.M.D.2133 Pepperrell St Bldg 3352
- Wyeth Lee Hoopes, D.D.S.1100 Wilford Hall Loop
- Tungshu Moses Yang, DDS1100 Wilford Hall Loop
- Karen Raychi Zhao, DDS1100 Wilford Hall Loop Bldg 4554
- Joseph Gedge, DDS1615 Truemper St
- Dionte Ramon Moncrief, DDS1100 Wilford Hall Loop
- Sheryl Kane, DDS1100 Wilford Hall Loop Bldg 4554
All General Practice Dentistry providers in Jbsa Lackland, TX →