Michael Patrick Wallace is a Saint Louis, Missouri 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 Michael Patrick Wallace is 13992 for Dentistry in Missouri. His current practice location is 9225 Manchester Rd, Suite 101, Saint Louis. Patients can reach him at 314-968-0003.
Michael Patrick 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:
Michael Patrick 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:
Michael Patrick Wallace
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
9225 Manchester Rd, Suite 101, Saint Louis, Missouri, 63144-2640
Phone:
314-968-0003
Fax:
314-968-0383
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:
1679585038
NPI Enumeration Date:
13 Aug, 2006
NPI Last Update On:
08 Jul, 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 Michael Patrick Wallace are as mentioned below.
License Number
Specialization
State
Status
13992
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:
9225 Manchester Rd, Suite 101 Saint Louis, Missouri
Zip:
63144-2640
Phone Number:
314-968-0003
Fax Number:
314-968-0383
Patients can reach Michael Patrick Wallace at 9225 Manchester Rd, Suite 101, Saint Louis, Missouri or can call to book an appointment on 314-968-0003. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.