Active NPIIndividual providerSole proprietor

Dr. Roy T Wallace, DDS

Dentist, General Practice in Billerica, Massachusetts

NPI Number1437291200
Practice location
655 Boston RD Ste 3A, Billerica, MA 01821-5338
Fax
—
Last updated
July 8, 2007

Roy T. Wallace is a Dentist, General Practice based in Billerica, MA. Roy T. Wallace practices in Billerica, MA and has the professional credentials of DDS. The NPI Number for Roy T. Wallace is 1437291200 and holds a License No. 13403 (MA). The current practice location address for Roy T. Wallace is 655 Boston RD Ste 3A, Billerica, MA 01821-5338 and can be reached out via phone at 978-667-0691.

Provider Profile Details

NPI Number
1437291200
Provider Name
Roy T. Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
655 Boston RD Ste 3A, Billerica, MA 01821-5338
Phone Number
978-667-0691
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
655 Boston RD Ste 3A
Billerica, MA 01821-5338
Zip
01821-5338
Phone Number
978-667-0691
Billerica, MA 01821Get directions →

Provider Business Mailing Address Details

Address
655 Boston RD Ste 3A
Billerica, MA 01821-5338
City
Billerica
State
MA
Zip
01821-5338
Phone Number
978-667-0691

License Information

License Number
13403
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Roy T Wallace, DDS?

The NPI number of Dr. Roy T Wallace, DDS is 1437291200. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Roy T Wallace, DDS?

Dr. Roy T Wallace, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 13403.

Where does Dr. Roy T Wallace, DDS practice?

The practice location is 655 Boston RD Ste 3A, Billerica, MA 01821-5338. The office can be reached at 978-667-0691 (phone).

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 1437291200 directly on the NPPES registry website.

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