Dr. Patrick L Wallace is a Ardmore, Oklahoma based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Patrick L Wallace is 4988 for Oral and Maxillofacial Surgery in Oklahoma. His current practice location is 1119 Walnut Dr, Suite 2, Ardmore. Patients can reach him at 580-226-1727.
Dr. Patrick L Wallace deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Patrick L 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. Patrick L Wallace
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1119 Walnut Dr, Suite 2, Ardmore, Oklahoma, 73401-2360
Phone:
580-226-1727
Fax:
580-226-9413
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:
1508857053
NPI Enumeration Date:
03 Nov, 2005
NPI Last Update On:
13 Jan, 2014
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. Patrick L Wallace are as mentioned below.
License Number
Specialization
State
Status
4988
Oral and Maxillofacial Surgery
Oklahoma
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Patrick L Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100119640A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 108816, Oklahoma City, Oklahoma
Zip:
73101-8816
Phone Number:
405-848-7974
Fax Number:
405-848-0033
Patients can reach Dr. Patrick L Wallace at 1119 Walnut Dr, Suite 2, Ardmore, Oklahoma or can call to book an appointment on 580-226-1727. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.