location
search-icon
person
Mrs. Andrea L Wallace, DMD
General Practice Dentistry in Emmett, Idaho
NPI 1871608604

Andrea L Wallace is a General Practice Dentistry based in Emmett, ID and is specialized in General Practice. Andrea L Wallace practices in Emmett, ID and has the professional credentials of DMD. The NPI Number for Andrea L Wallace is 1871608604 and holds a License No. D-3656 (Idaho).

The current practice location address for Andrea L Wallace is 2003 S Plaza Rd, Emmett, ID and can be reached out via phone at 208-365-3534 and via fax at 208-365-6231.

Location: 2003 S Plaza Rd, Emmett, ID, 83617-9180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871608604
Provider Name
Andrea L Wallace
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2003 S Plaza Rd, Emmett, ID, 83617-9180
Phone Number
208-365-3534
Fax Number
208-365-6231
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
8071026 05 ID
institution
Provider Business Practice Location Address Details
Address
2003 S Plaza Rd
City
Emmett
State
Idaho
Zip
83617-9180
Phone Number
208-365-3534
Fax Number
208-365-6231
person
Provider Business Mailing Address Details
Address
2003 S Plaza Rd
City
Emmett
State
Idaho
Zip
83617-9180
Phone Number
208-365-3534
Fax Number
208-365-6231
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-3656 (Idaho)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.