location
search-icon
person
Phillip Wendell Wallace, DDS
General Practice Dentistry in Willoughby, Ohio
NPI 1083759930

Phillip Wendell Wallace is a General Practice Dentistry based in Willoughby, OH and is specialized in General Practice. Phillip Wendell Wallace practices in Willoughby, OH and has the professional credentials of DDS. The NPI Number for Phillip Wendell Wallace is 1083759930 and holds a License No. 16266 (Ohio).

The current practice location address for Phillip Wendell Wallace is 36001 Euclid Ave Ste A15, Willoughby, OH and can be reached out via phone at 440-946-5484 and via fax at 440-946-5810.

Location: 36001 Euclid Ave Ste A15, Willoughby, OH, 44094-4643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083759930
Provider Name
Phillip Wendell Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
36001 Euclid Ave Ste A15, Willoughby, OH, 44094-4643
Phone Number
440-946-5484
Fax Number
440-946-5810
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
36001 Euclid Ave Ste A15
City
Willoughby
State
Ohio
Zip
44094-4643
Phone Number
440-946-5484
Fax Number
440-946-5810
person
Provider Business Mailing Address Details
Address
36001 Euclid Ave Ste A15
City
Willoughby
State
Ohio
Zip
44094-4643
Phone Number
440-946-5484
Fax Number
440-946-5810
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
16266 (Ohio)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.