David A. Wallace, Dds, Ms, Ltd. is a Oral and Maxillofacial Dental Clinic in Blacksburg, Virginia. It is located at 3712 S Main St, Blacksburg, VA and its contact number is 540-552-7222. The authorized person for David A. Wallace, Dds, Ms, Ltd. is Ella Hurst
who is Ofc. Mngr. of the clinic and their contact number is 304-425-2611. The primary license number for David A. Wallace, Dds, Ms, Ltd. is 03440 (Oral and Maxillofacial Surgery) in Virginia. David A. Wallace, Dds, Ms, Ltd. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
David A. Wallace, Dds, Ms, Ltd. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
David A. Wallace, Dds, Ms, Ltd.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
3712 S Main St, Blacksburg, Virginia, 24060-7017
Phone:
540-552-7222
Fax:
540-953-3096
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:
Ella Hurst
Position:
Ofc. Mngr.
Contact Number:
304-425-2611
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 David A. Wallace, Dds, Ms, Ltd. clinic are as mentioned below.
NPI Number:
1356536593
NPI Enumeration Date:
11 Sep, 2007
NPI Last Update On:
06 Sep, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David A. Wallace, Dds, Ms, Ltd. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
03440
Virginia
Primary
Oral and Maxillofacial Surgery
1880
West Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0138333000
Medicaid
West Virginia
8000476
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
David A. Wallace, Dds, Ms, Ltd. 3712 S Main St, Blacksburg, Virginia
Zip:
24060-7017
Phone Number:
540-552-7222
Fax Number:
540-953-3096
Patients can reach David A. Wallace, Dds, Ms, Ltd. at 3712 S Main St, Blacksburg, Virginia or can call to book an appointment on 540-552-7222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.