Kevin D Wallace Dmd, Pc - Springfield, MO

Kevin D Wallace Dmd, Pc

Prosthodontist in Springfield, Missouri

NPI 1841404019

Kevin D Wallace Dmd, Pc is a Prosthodontist based in Springfield, MO and is specialized in Prosthodontics. Kevin D Wallace Dmd, Pc practices in Springfield, MO. The NPI Number for Kevin D Wallace Dmd, Pc is 1841404019 and holds a License No. 014935 (Missouri).

The current practice location address for Kevin D Wallace Dmd, Pc is 1200 E Woodhurst Dr, Springfield, MO and can be reached out via phone at 417-881-1123 and via fax at 417-883-0812.

Location: 1200 E Woodhurst Dr, Springfield, MO, 65804-4257

NPI Number

1841404019

Provider Name

Kevin D Wallace Dmd, Pc

Credential

Provider Entity Type

Organization

Address

1200 E Woodhurst Dr, Springfield, MO, 65804-4257

Phone Number

417-881-1123

Fax Number

417-883-0812

Provider Enumeration Date

05/09/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
WA405263807	05	MO

Address

1200 E Woodhurst Dr

City

Springfield

State

Missouri

Zip

65804-4257

Phone Number

417-881-1123

Fax Number

417-883-0812

Address

1200 E Woodhurst Dr

City

Springfield

State

Missouri

Zip

65804-4257

Phone Number

417-881-1123

Fax Number

417-883-0812

Type

Dental Providers

Classification

Dentist

Speciality

Prosthodontics

Taxonomy

1223P0700X

License No.

014935 (Missouri)

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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