person
Dr. George Marvin Wallace, DDS
General Practice Dentistry in High Point, North Carolina
NPI 1063559748

George Marvin Wallace is a General Practice Dentistry based in High Point, NC and is specialized in General Practice. George Marvin Wallace practices in High Point, NC and has the professional credentials of DDS. The NPI Number for George Marvin Wallace is 1063559748 and holds a License No. 3016 (North Carolina).

The current practice location address for George Marvin Wallace is 710 N Elm St, High Point, NC and can be reached out via phone at 336-882-4181 and via fax at 336-464-2166.

Location: 710 N Elm St, High Point, NC, 27262-3918
person
Provider Profile Details
NPI Number
1063559748
Provider Name
George Marvin Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
710 N Elm St, High Point, NC, 27262-3918
Phone Number
336-882-4181
Fax Number
336-464-2166
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3016 01 NC STATE LICENSE #
8998840 05 NC
56-0814633 01 NC TAX ID #
1063559748 01 NC NPI #
institution
Provider Business Practice Location Address Details
Address
710 N Elm St
City
State
Zip
27262-3918
Phone Number
336-882-4181
Fax Number
336-464-2166
person
Provider Business Mailing Address Details
Address
710 N Elm St
City
State
Zip
27262-3918
Phone Number
336-882-4181
Fax Number
336-464-2166
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3016 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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