Kevin D Wallace Dmd, Pc is a Prosthetic Dentistry Clinic in Springfield, Missouri. It is located at 1200 E Woodhurst Dr, Suite 200-a, Springfield, MO and its contact number is 417-881-1123. The authorized person for Kevin D Wallace Dmd, Pc is Dr. Kevin D Wallace
who is Dentist of the clinic and their contact number is 417-881-1123. Other organizations associated with this clinic are Thomas F, Hoff, Dds, Llc, Glen H Petteway, D.d.s., P.c., Kevin D Wallace Dmd, Pc, The primary license number for Kevin D Wallace Dmd, Pc is 014935 (Prosthodontics) in Missouri. Kevin D Wallace Dmd, Pc Clinic is specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Clinic Profile:
Kevin D Wallace Dmd, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kevin D Wallace Dmd, Pc
Specialization:
Prosthetic Dentistry
Clinic Address:
1200 E Woodhurst Dr, Suite 200-a, Springfield, Missouri, 65804-4257
Phone:
417-881-1123
Fax:
417-883-0812
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. Kevin D Wallace
Position:
Dentist
Contact Number:
417-881-1123
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 Kevin D Wallace Dmd, Pc clinic are as mentioned below.
NPI Number:
1841404019
NPI Enumeration Date:
09 May, 2007
NPI Last Update On:
21 Aug, 2008
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Thomas F, Hoff, Dds, Llc
Dentistry
1336560010
Glen H Petteway, D.d.s., P.c.
Prosthetic Dentistry
1356700181
Kevin D Wallace Dmd, Pc
Prosthetic Dentistry
1841404019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin D Wallace Dmd, Pc are as mentioned below.
Specialization
License Number
State
Status
Prosthodontics
014935
Missouri
Primary
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
WA405263807
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kevin D Wallace Dmd, Pc 1200 E Woodhurst Dr, Suite 200-a Springfield, Missouri
Zip:
65804-4257
Phone Number:
417-881-1123
Fax Number:
417-883-0812
Patients can reach Kevin D Wallace Dmd, Pc at 1200 E Woodhurst Dr, Suite 200-a, Springfield, Missouri or can call to book an appointment on 417-881-1123. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.