Dustin Guy Wallace, DDS

General Practice Dentistry · Pine Bluff, AR

Individual Active NPI

NPI number 1770932808

Practice location

2801 S Olive St
Pine Bluff, AR 71603-5433
Phone
(870) 663-4180

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NPI record

NPI
1770932808
Entity type
Individual (Type 1)
Enumeration date
June 9, 2016
Last updated
March 20, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4095 AR
General Practice Dentistry 1223G0001X 32331 TX

Mailing address

1165 Arrowhead Rd
Pine Bluff, AR 71603-9443
Phone
(870) 543-0529

About Dr. Wallace

Dustin Guy Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2801 S Olive St, Pine Bluff, AR 71603-5433. The NPI number 1770932808 was assigned on June 9, 2016 and the record was last updated on March 20, 2018.

Dr. Wallace lists 2 licenses in the registry: #4095 (AR) for General Practice Dentistry; #32331 (TX) 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 Dustin Guy Wallace, DDS?

The NPI number is 1770932808.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (870) 663-4180.

Where is Dr. Wallace located?

2801 S Olive St, Pine Bluff, AR 71603-5433.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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