Kevin D. Wallace, DMD PC
Prosthodontics · Springfield, MO
Practice location
1200 E Woodhurst Dr Ste a200Springfield, MO 65804-3745
- Phone
- (417) 881-1123
- Fax
- (417) 883-0812
NPI record
- NPI
- 1972750909
- Entity type
- Individual (Type 1)
- Enumeration date
- August 21, 2008
- Last updated
- August 21, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthodontics Primary | 1223P0700X |
014935 | MO |
About Kevin Wallace
Kevin D. Wallace, DMD PC is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 1200 E Woodhurst Dr Ste a200, Springfield, MO 65804-3745. The NPI number 1972750909 was assigned on August 21, 2008 and the record was last updated on August 21, 2008.
Kevin Wallace lists a license in the registry: #014935 (MO) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kevin D. Wallace, DMD PC?
The NPI number is 1972750909.
What is the phone number of Kevin Wallace?
The phone number listed for the practice location is (417) 881-1123.
Where is Kevin Wallace located?
1200 E Woodhurst Dr Ste a200, Springfield, MO 65804-3745.
What is the taxonomy code for Kevin Wallace?
The primary taxonomy code is 1223P0700X – Prosthodontics.
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 Prosthodontics providers in Springfield
- Robert Lee Swords, DDS618 N Benton Ave
- Glen H. Petteway, DDS1200 E Woodhurst
- Glen H Petteway, D.D.S., P.C.1200 E Woodhurst Dr
- Carol Kim, D.D.S.3842 S Glenstone Ave
- Kevin D Wallace DMD, PC1200 E Woodhurst Dr