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Dr. Charles Wayne Wallace, DDS
General Practice Dentistry in Staunton, Virginia
NPI 1073643862

Charles Wayne Wallace is a General Practice Dentistry based in Staunton, VA and is specialized in General Practice. Charles Wayne Wallace practices in Staunton, VA and has the professional credentials of DDS. The NPI Number for Charles Wayne Wallace is 1073643862 and holds a License No. 0401003798 (Virginia).

The current practice location address for Charles Wayne Wallace is 502 N Coalter St, Staunton, VA and can be reached out via phone at 540-885-3060.

Location: 502 N Coalter St, Staunton, VA, 24401-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073643862
Provider Name
Charles Wayne Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
502 N Coalter St, Staunton, VA, 24401-3401
Phone Number
540-885-3060
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B23831643 01 VA DRIVER'S LICENSE
0401003798 01 VA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
502 N Coalter St
City
Staunton
State
Virginia
Zip
24401-3401
Phone Number
540-885-3060
Fax Number
person
Provider Business Mailing Address Details
Address
502 N Coalter St
City
Staunton
State
Virginia
Zip
24401-3401
Phone Number
540-885-3060
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401003798 (Virginia)
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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