John Kline Wallace, DDS

Dentist · Fredericksburg, VA

Individual Active NPI

NPI number 1316038839

Practice location

2501 Princess Anne St
Fredericksburg, VA 22401-3333
Phone
(540) 371-0004

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NPI record

NPI
1316038839
Entity type
Individual (Type 1)
Enumeration date
September 28, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401005254 VA

About Dr. Wallace

John Kline Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2501 Princess Anne St, Fredericksburg, VA 22401-3333. The NPI number 1316038839 was assigned on September 28, 2006 and the record was last updated on July 8, 2007.

Dr. Wallace lists a license in the registry: #0401005254 (VA) 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 Kline Wallace, DDS?

The NPI number is 1316038839.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (540) 371-0004.

Where is Dr. Wallace located?

2501 Princess Anne St, Fredericksburg, VA 22401-3333.

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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