Dr. Jody Paul Wallace is a Graham, North Carolina 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. Jody Paul Wallace is 7500 for General Practice Dentistry in North Carolina. His current practice location is 2148 Highway 54, Graham. Patients can reach him at 336-578-3884.
Dr. Jody Paul 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. Jody Paul 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. Jody Paul Wallace
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2148 Highway 54, Graham, North Carolina, 27253
Phone:
336-578-3884
Fax:
336-578-3814
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:
1740210103
NPI Enumeration Date:
03 Jul, 2006
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. Jody Paul Wallace are as mentioned below.
License Number
Specialization
State
Status
7500
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jody Paul Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
89902J1
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2148 Highway 54, Graham, North Carolina
Zip:
27253
Phone Number:
336-578-3884
Fax Number:
336-578-3814
Patients can reach Dr. Jody Paul Wallace at 2148 Highway 54, Graham, North Carolina or can call to book an appointment on 336-578-3884. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.