C M Wallace Dds Pa is a Dental Clinic in Bonita Springs, Florida. It is located at 8951 Bonita Beach Rd, Bonita Springs, FL and its contact number is 239-992-8555. The authorized person for C M Wallace Dds Pa is Dr. Charles Macon Wallace Iii
who is Owner President of the clinic and their contact number is 239-643-4746. The primary license number for C M Wallace Dds Pa is DN14024 (General Practice) in Florida. C M Wallace Dds Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
C M Wallace Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
C M Wallace Dds Pa
Specialization:
General Practice Dentistry
Clinic Address:
8951 Bonita Beach Rd, Bonita Springs, Florida, 34135-4201
Phone:
239-992-8555
Fax:
239-992-8644
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Charles Macon Wallace Iii
Position:
Owner President
Contact Number:
239-643-4746
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for C M Wallace Dds Pa clinic are as mentioned below.
NPI Number:
1578612925
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
29 Sep, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for C M Wallace Dds Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
DN14024
Florida
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
C M Wallace Dds Pa 8951 Bonita Beach Rd, Bonita Springs, Florida
Zip:
34135-4201
Phone Number:
239-992-8555
Fax Number:
239-992-8644
Patients can reach C M Wallace Dds Pa at 8951 Bonita Beach Rd, Bonita Springs, Florida or can call to book an appointment on 239-992-8555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.