Gerald William Wallach, D.D.S.

General Practice Dentistry · Davie, FL

Individual Active NPI

NPI number 1396854980

Practice location

3200 S University Dr
Davie, FL 33328-2018
Phone
(195) 426-2183

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NPI record

NPI
1396854980
Entity type
Individual (Type 1)
Enumeration date
August 29, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 23405 NY

Mailing address

17202 Ryton Ln
Boca Raton, FL 33496-3218
Phone
(156) 198-8720
Fax
(156) 198-8720

About Dr. Wallach

Gerald William Wallach, 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 3200 S University Dr, Davie, FL 33328-2018. The NPI number 1396854980 was assigned on August 29, 2006 and the record was last updated on July 8, 2007.

Dr. Wallach lists a license in the registry: #23405 (NY) 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 Gerald William Wallach, D.D.S.?

The NPI number is 1396854980.

What is the phone number of Dr. Wallach?

The phone number listed for the practice location is (195) 426-2183.

Where is Dr. Wallach located?

3200 S University Dr, Davie, FL 33328-2018.

What is the taxonomy code for Dr. Wallach?

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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