person
Dr. Kevin D Wallace, DMDPC
Prosthodontist in Springfield, Missouri
NPI 1972750909

Kevin D Wallace is a Prosthodontist based in Springfield, MO and is specialized in Prosthodontics. Kevin D Wallace practices in Springfield, MO and has the professional credentials of DMDPC. The NPI Number for Kevin D Wallace is 1972750909 and holds a License No. 014935 (Missouri).

The current practice location address for Kevin D Wallace is 1200 E Woodhurst Dr Ste A200, 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 Ste A200, Springfield, MO, 65804-3745
person
Provider Profile Details
NPI Number
1972750909
Provider Name
Kevin D Wallace
Credential
DMDPC
Provider Entity Type
Individual
Gender
Male
Address
1200 E Woodhurst Dr Ste A200, Springfield, MO, 65804-3745
Phone Number
417-881-1123
Fax Number
417-883-0812
Provider Enumeration Date
08/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 E Woodhurst Dr Ste A200
City
State
Zip
65804-3745
Phone Number
417-881-1123
Fax Number
417-883-0812
person
Provider Business Mailing Address Details
Address
1200 E Woodhurst Dr Ste A200
City
State
Zip
65804-3745
Phone Number
417-881-1123
Fax Number
417-883-0812
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
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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