Ellie Wallace, DDS

General Practice Dentistry · Cadillac, MI

Individual Active NPI

NPI number 1124850763

Practice location

7800 Us Highway 131 S
Cadillac, MI 49601-7080
Phone
(231) 775-9797

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NPI record

NPI
1124850763
Entity type
Individual (Type 1)
Enumeration date
August 14, 2024
Last updated
August 14, 2024
Certified
August 14, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901602301 MI

About Dr. Wallace

Ellie Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7800 Us Highway 131 S, Cadillac, MI 49601-7080. The NPI number 1124850763 was assigned on August 14, 2024 and the record was last updated on August 14, 2024.

Dr. Wallace lists a license in the registry: #2901602301 (MI) 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 Ellie Wallace, DDS?

The NPI number is 1124850763.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (231) 775-9797.

Where is Dr. Wallace located?

7800 Us Highway 131 S, Cadillac, MI 49601-7080.

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.

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