Dr. Kevin Bruce Wallace is a Leesburg, Florida based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kevin Bruce Wallace is DN15774 for Dentistry in Florida. His current practice location is 949 N 14th St, Leesburg. Patients can reach him at 352-816-0855.
Dr. Kevin Bruce 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. Kevin Bruce 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. Kevin Bruce Wallace
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
949 N 14th St, Leesburg, Florida, 34748-3838
Phone:
352-816-0855
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:
1316960131
NPI Enumeration Date:
25 Jul, 2006
NPI Last Update On:
02 Nov, 2011
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. Kevin Bruce Wallace are as mentioned below.
License Number
Specialization
State
Status
DN15774
Dentistry
Florida
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:
1107 S.e. 24 Terrace, Ocala, Florida
Zip:
34471
Phone Number:
352-867-9890
Fax Number:
352-622-7616
Patients can reach Dr. Kevin Bruce Wallace at 949 N 14th St, Leesburg, Florida or can call to book an appointment on 352-816-0855. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.