Active NPIIndividual provider

Dr. Joseph F Wallace III, DDS

Dentist, Oral and Maxillofacial Surgery in Greenwich, Connecticut

NPI Number1255421012
Practice location
23 Maple Ave, Greenwich, CT 06830-5620
Fax
203-661-1159
Last updated
July 8, 2007

Joseph Francis Wallace is a Dentist, Oral and Maxillofacial Surgery based in Greenwich, CT. Joseph Francis Wallace practices in Greenwich, CT and has the professional credentials of DDS. The NPI Number for Joseph Francis Wallace is 1255421012 and holds a License No. 040760 (NY). The current practice location address for Joseph Francis Wallace is 23 Maple Ave, Greenwich, CT 06830-5620 and can be reached out via phone at 203-661-5858 and via fax at 203-661-1159.

Provider Profile Details

NPI Number
1255421012
Provider Name
Joseph Francis Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
23 Maple Ave, Greenwich, CT 06830-5620
Phone Number
203-661-5858
Fax Number
203-661-1159
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
October 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Maple Ave
Greenwich, CT 06830-5620
Zip
06830-5620
Phone Number
203-661-5858
Fax Number
203-661-1159
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
23 Maple Ave
Greenwich, CT 06830-5620
City
Greenwich
State
CT
Zip
06830-5620
Phone Number
203-661-5858
Fax Number
203-661-1159

License Information

License Number (1)
040760
License State (1)
NY
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
7023
License State (2)
CT
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joseph F Wallace III, DDS?

The NPI number of Dr. Joseph F Wallace III, DDS is 1255421012. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph F Wallace III, DDS?

Dr. Joseph F Wallace III, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 040760.

Where does Dr. Joseph F Wallace III, DDS practice?

The practice location is 23 Maple Ave, Greenwich, CT 06830-5620. The office can be reached at 203-661-5858 (phone) or 203-661-1159 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255421012 directly on the NPPES registry website.

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