Alan Craig Wallace, DDS

General Practice Dentistry · Camdenton, MO

Individual Active NPI

NPI number 1689740631

Practice location

1497 N Highway 5
Camdenton, MO 65020
Phone
(573) 346-7278
Fax
(573) 346-2176

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NPI record

NPI
1689740631
Entity type
Individual (Type 1)
Enumeration date
November 28, 2006
Last updated
April 24, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 012116 MO

Mailing address

PO Box 820
Camdenton, MO 65020
Phone
(573) 346-7278
Fax
(573) 346-2176

About Dr. Wallace

Alan Craig Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1497 N Highway 5, Camdenton, MO 65020. The NPI number 1689740631 was assigned on November 28, 2006 and the record was last updated on April 24, 2008.

Dr. Wallace lists a license in the registry: #012116 (MO) 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 Alan Craig Wallace, DDS?

The NPI number is 1689740631.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (573) 346-7278.

Where is Dr. Wallace located?

1497 N Highway 5, Camdenton, MO 65020.

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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