Chad Duane Wallace, D.D.S.

General Practice Dentistry · Rome, NY

Individual Active NPI

NPI number 1912070335

Practice location

63 Geiger Rd
Rome, NY 13441-4324
Phone
(315) 339-2120
Fax
(315) 339-2120

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NPI record

NPI
1912070335
Entity type
Individual (Type 1)
Enumeration date
November 15, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 051249 NY

About Dr. Wallace

Chad Duane Wallace, 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 63 Geiger Rd, Rome, NY 13441-4324. The NPI number 1912070335 was assigned on November 15, 2006 and the record was last updated on July 8, 2007.

Dr. Wallace lists a license in the registry: #051249 (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 Chad Duane Wallace, D.D.S.?

The NPI number is 1912070335.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (315) 339-2120.

Where is Dr. Wallace located?

63 Geiger Rd, Rome, NY 13441-4324.

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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