Dr. Kevin D Wallace
DMD PC | Prosthodontics | 36+ years Exp
1200 E Woodhurst Dr Ste A200, Springfield
Missouri, 65804-3745
417-881-1123 417-883-0812
Maps & DirectionsDr. Kevin D Wallace is a Springfield, Missouri based Prosthodontics with
36 years of experience in
Prosthetic Dentistry. He completed his graduation from
Other in 1990. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Kevin D Wallace is
014935 for Prosthetic Dentistry in Missouri. His current practice location is
1200 E Woodhurst Dr Ste A200, Springfield. Patients can reach him at
417-881-1123.
Dr. Kevin D Wallace 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 Profile:
Dr. Kevin D 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 D Wallace |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | DMD PC |
| Experience: | 36+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1990 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1200 E Woodhurst Dr Ste A200, Springfield,
Missouri, 65804-3745 |
| Phone: | 417-881-1123 |
| Fax: | 417-883-0812 |
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.
| PAC ID: | 5799693628 |
| Enrollment ID: | I20090122000292 |
| NPI Number: | 1972750909 |
| NPI Enumeration Date: | 21 Aug, 2008 |
| NPI Last Update On: | 21 Aug, 2008 |
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 D Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 014935 | Prosthetic Dentistry | Missouri | 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: | 1200 E Woodhurst Dr Ste A200,
Springfield, Missouri |
| Zip: | 65804-3745 |
| Phone Number: | 417-881-1123 |
| Fax Number: | 417-883-0812 |
Patients can reach Dr. Kevin D Wallace at
1200 E Woodhurst Dr Ste A200, Springfield, Missouri or can
call to book an appointment on 417-881-1123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.