Mrs. Andrea L Wallace is a Emmett, Idaho based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mrs. Andrea L Wallace is D-3656 for General Practice Dentistry in Idaho. Her current practice location is 2003 S Plaza Rd, Emmett. Patients can reach her at 208-365-3534.
Mrs. Andrea L Wallace is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mrs. Andrea 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:
Mrs. Andrea L Wallace
Specialization:
Dentist
Gender:
Female
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
2003 S Plaza Rd, Emmett, Idaho, 83617-9180
Phone:
208-365-3534
Fax:
208-365-6231
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:
1871608604
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
09 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 Mrs. Andrea L Wallace are as mentioned below.
License Number
Specialization
State
Status
D-3656
General Practice Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Andrea L Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8071026
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2003 S Plaza Rd, Emmett, Idaho
Zip:
83617-9180
Phone Number:
208-365-3534
Fax Number:
208-365-6231
Patients can reach Mrs. Andrea L Wallace at 2003 S Plaza Rd, Emmett, Idaho or can call to book an appointment on 208-365-3534. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.