Julie Wallace, DDS
Dentist · Elk River, MN
Practice location
303 Main StreetElk River, MN 55330
- Phone
- (763) 441-9181
- Fax
- (763) 441-3399
NPI record
- NPI
- 1811068778
- Entity type
- Individual (Type 1)
- Enumeration date
- November 13, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
D11036 | MN |
About Dr. Wallace
Julie Wallace, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 303 Main Street, Elk River, MN 55330. The NPI number 1811068778 was assigned on November 13, 2006 and the record was last updated on July 8, 2007.
Dr. Wallace lists a license in the registry: #D11036 (MN) 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 Julie Wallace, DDS?
The NPI number is 1811068778.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (763) 441-9181.
Where is Dr. Wallace located?
303 Main Street, Elk River, MN 55330.
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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