Dr. Kenneth Gregg Wallis is a Santa Clara, California 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. Kenneth Gregg Wallis is 34914 for General Practice Dentistry in California. His current practice location is 265 Crestview Dr, Santa Clara. Patients can reach him at 408-248-6777.
Dr. Kenneth Gregg Wallis 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. Kenneth Gregg Wallis 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. Kenneth Gregg Wallis
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
265 Crestview Dr, Santa Clara, California, 95050-6503
Phone:
408-248-6777
Fax:
408-248-1947
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:
1538350038
NPI Enumeration Date:
08 Aug, 2007
NPI Last Update On:
08 Aug, 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. Kenneth Gregg Wallis are as mentioned below.
License Number
Specialization
State
Status
34914
General Practice Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
265 Crestview Dr, Santa Clara, California
Zip:
95050-6503
Phone Number:
408-248-6777
Fax Number:
408-248-1947
Patients can reach Dr. Kenneth Gregg Wallis at 265 Crestview Dr, Santa Clara, California or can call to book an appointment on 408-248-6777. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.