David A. Wallace, Dds, Ms, Ltd.
Oral and Maxillofacial Dental Clinic
3712 S Main St, Blacksburg
Virginia, 24060-7017
540-552-7222 540-953-3096
Maps & DirectionsDavid 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.