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Dr. Chad Duane Wallace, DDS
General Practice Dentistry in Rome, New York
NPI 1912070335

Chad Duane Wallace is a General Practice Dentistry based in Rome, NY and is specialized in General Practice. Chad Duane Wallace practices in Rome, NY and has the professional credentials of DDS. The NPI Number for Chad Duane Wallace is 1912070335 and holds a License No. 051249 (New York).

The current practice location address for Chad Duane Wallace is 63 Geiger Rd, Rome, NY and can be reached out via phone at 315-339-2120 and via fax at 315-339-2120.

Location: 63 Geiger Rd, Rome, NY, 13441-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912070335
Provider Name
Chad Duane Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
63 Geiger Rd, Rome, NY, 13441-4324
Phone Number
315-339-2120
Fax Number
315-339-2120
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02620184 05 NY
institution
Provider Business Practice Location Address Details
Address
63 Geiger Rd
City
Rome
State
New York
Zip
13441-4324
Phone Number
315-339-2120
Fax Number
315-339-2120
person
Provider Business Mailing Address Details
Address
63 Geiger Rd
City
Rome
State
New York
Zip
13441-4324
Phone Number
315-339-2120
Fax Number
315-339-2120
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
051249 (New York)
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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