Ashley Wallace, DMD

General Practice Dentistry · Groton, CT

Individual Active NPI

NPI number 1417466236

Practice location

1 Wahoo Ave
Groton, CT 06349-2324
Phone
(860) 694-3738

Open in Google Maps

NPI record

NPI
1417466236
Entity type
Individual (Type 1)
Enumeration date
September 25, 2017
Last updated
September 25, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1857727 MA

About Dr. Wallace

Ashley Wallace, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The NPI number 1417466236 was assigned on September 25, 2017 and the record was last updated on September 25, 2017.

Dr. Wallace lists a license in the registry: #DN1857727 (MA) 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 Ashley Wallace, DMD?

The NPI number is 1417466236.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (860) 694-3738.

Where is Dr. Wallace located?

1 Wahoo Ave, Groton, CT 06349-2324.

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 Groton

All General Practice Dentistry providers in Groton, CT →