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Dr. Brian Wallace, DMD
General Practice Dentistry in Prestonsburg, Kentucky
NPI 1093866121

Brian Wallace is a General Practice Dentistry based in East Point, KY and is specialized in General Practice. Brian Wallace practices in Prestonsburg, KY and has the professional credentials of DMD. The NPI Number for Brian Wallace is 1093866121 and holds a License No. 7008 (Kentucky).

The current practice location address for Brian Wallace is 781 S Lake Dr, Prestonsburg, KY and can be reached out via phone at 606-886-2676 and via fax at 606-886-2741.

Location: 781 S Lake Dr, Prestonsburg, KY, 41216-8824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093866121
Provider Name
Brian Wallace
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
781 S Lake Dr, Prestonsburg, KY, 41216-8824
Phone Number
606-886-2676
Fax Number
606-886-2741
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60070083 05 KY
institution
Provider Business Practice Location Address Details
Address
781 S Lake Dr
City
Prestonsburg
State
Kentucky
Zip
41653-1340
Phone Number
606-886-2676
Fax Number
606-886-2741
person
Provider Business Mailing Address Details
Address
781 S Lake Dr
City
Prestonsburg
State
Kentucky
Zip
41653-1340
Phone Number
606-886-2676
Fax Number
606-886-2741
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7008 (Kentucky)
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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