Leslie Suzanne Wallace is a Lebanon, Tennessee based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Leslie Suzanne Wallace is 8973 for Pediatric Dentistry in Tennessee. Her current practice location is 103 Physicians Way, Suite 150, Lebanon. Patients can reach her at 859-948-0386.
Leslie Suzanne Wallace provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Leslie Suzanne 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:
Leslie Suzanne Wallace
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
103 Physicians Way, Suite 150, Lebanon, Tennessee, 37090-4104
Phone:
859-948-0386
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:
1629301833
NPI Enumeration Date:
08 Sep, 2009
NPI Last Update On:
08 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 Leslie Suzanne Wallace are as mentioned below.
License Number
Specialization
State
Status
8973
Pediatric Dentistry
Tennessee
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:
179 Cobbler Cir, Hendersonville, Tennessee
Zip:
37075-3963
Phone Number:
859-948-0386
Patients can reach Leslie Suzanne Wallace at 103 Physicians Way, Suite 150, Lebanon, Tennessee or can call to book an appointment on 859-948-0386. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.