John Henry Wallace, DDS

Dentist · Newark, OH

Individual Active NPI

NPI number 1144333261

Practice location

583 Moull St
Newark, OH 43055-2909
Phone
(740) 366-1988
Fax
(740) 364-0774

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NPI record

NPI
1144333261
Entity type
Individual (Type 1)
Enumeration date
August 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 16606 OH

About Dr. Wallace

John Henry Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 583 Moull St, Newark, OH 43055-2909. The NPI number 1144333261 was assigned on August 15, 2006 and the record was last updated on July 8, 2007.

Dr. Wallace lists a license in the registry: #16606 (OH) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Henry Wallace, DDS?

The NPI number is 1144333261.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (740) 366-1988.

Where is Dr. Wallace located?

583 Moull St, Newark, OH 43055-2909.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 122300000X – Dentist.

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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