Dr. Brian Wallace is a Prestonsburg, Kentucky based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Brian Wallace is 7008 for General Practice Dentistry in Kentucky. His current practice location is 781 S Lake Dr, Suite 1, Prestonsburg. Patients can reach him at 606-886-2676.
Dr. Brian Wallace is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Brian Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Brian Wallace
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
781 S Lake Dr, Suite 1, Prestonsburg, Kentucky, 41653-1340
Phone:
606-886-2676
Fax:
606-886-2741
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 are as mentioned below.
NPI Number:
1093866121
NPI Enumeration Date:
16 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian Wallace are as mentioned below.
License Number
Specialization
State
Status
7008
General Practice Dentistry
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
60070083
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3900 Ky Route 1750, East Point, Kentucky
Zip:
41216-8824
Patients can reach Dr. Brian Wallace at 781 S Lake Dr, Suite 1, Prestonsburg, Kentucky or can call to book an appointment on 606-886-2676. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.