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Dr. David Allen Wallace, DDS,MS
Oral and Maxillofacial Surgery (Dentist) in Princeton, West Virginia
NPI 1386646206

David Allen Wallace is a Oral and Maxillofacial Surgery (Dentist) based in Princeton, WV and is specialized in Oral and Maxillofacial Surgery. David Allen Wallace practices in Princeton, WV and has the professional credentials of DDS,MS. The NPI Number for David Allen Wallace is 1386646206 and holds a License No. 1880 (West Virginia).

The current practice location address for David Allen Wallace is 206 S Walker St, Princeton, WV and can be reached out via phone at 304-425-2611.

Location: 206 S Walker St, Princeton, WV, 24740-2747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386646206
Provider Name
David Allen Wallace
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
206 S Walker St, Princeton, WV, 24740-2747
Phone Number
304-425-2611
Fax Number
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800476 05 VA
0138333000 05 WV
institution
Provider Business Practice Location Address Details
Address
206 S Walker St
City
Princeton
State
West Virginia
Zip
24740-2747
Phone Number
304-425-2611
Fax Number
person
Provider Business Mailing Address Details
Address
206 S Walker St
City
Princeton
State
West Virginia
Zip
24740-2747
Phone Number
304-425-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1880 (West Virginia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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