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Ashley Wallace, DMD
General Practice Dentistry in Groton, Connecticut
NPI 1417466236

Ashley Wallace is a General Practice Dentistry based in Groton, CT and is specialized in General Practice. Ashley Wallace practices in Groton, CT and has the professional credentials of DMD. The NPI Number for Ashley Wallace is 1417466236 and holds a License No. DN1857727 (Connecticut).

The current practice location address for Ashley Wallace is 1 Wahoo Ave, Groton, CT and can be reached out via phone at 860-694-3738.

Location: 1 Wahoo Ave, Groton, CT, 06349-2324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417466236
Provider Name
Ashley Wallace
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1 Wahoo Ave, Groton, CT, 06349-2324
Phone Number
860-694-3738
Fax Number
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Wahoo Ave
City
Groton
State
Connecticut
Zip
06349-2324
Phone Number
860-694-3738
Fax Number
person
Provider Business Mailing Address Details
Address
1 Wahoo Ave
City
Groton
State
Connecticut
Zip
06349-2324
Phone Number
860-694-3738
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1857727 (Massachusetts)
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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