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Dr. John David Wallace, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Dallas, Texas
NPI 1811978349

John David Wallace is a Oral and Maxillofacial Surgery (Dentist) based in Dallas, TX and is specialized in Oral and Maxillofacial Surgery. John David Wallace practices in Dallas, TX and has the professional credentials of DDS,MD. The NPI Number for John David Wallace is 1811978349 and holds a License No. 19862 (Texas).

The current practice location address for John David Wallace is 8315 Walnut Hill Ln Ste 120, Dallas, TX and can be reached out via phone at 214-363-9946 and via fax at 214-389-1953.

Location: 8315 Walnut Hill Ln Ste 120, Dallas, TX, 75231-4218
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Provider Profile Details
NPI Number
1811978349
Provider Name
John David Wallace
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
8315 Walnut Hill Ln Ste 120, Dallas, TX, 75231-4218
Phone Number
214-363-9946
Fax Number
214-389-1953
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750242-02 05 TX
institution
Provider Business Practice Location Address Details
Address
8315 Walnut Hill Ln Ste 120
City
State
Zip
75231-4218
Phone Number
214-363-9946
Fax Number
214-389-1953
person
Provider Business Mailing Address Details
Address
8315 Walnut Hill Ln Ste 120
City
State
Zip
75231-4218
Phone Number
214-363-9946
Fax Number
214-389-1953
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
19862 (Texas)
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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