| Dr David Allen Wallace, DDS, MS | |
|
206 S Walker St, Princeton, WV 24740-2747 | |
| (304) 425-2611 | |
| Not Available |
| Full Name | Dr David Allen Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 206 S Walker St, Princeton, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386646206 | NPI | - | NPPES |
| 800476 | Medicaid | VA | |
| 0138333000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1880 (West Virginia) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401003440 (Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Allen Wallace, DDS, MS 206 S Walker St, Princeton, WV 24740-2747 Ph: (304) 425-2611 | Dr David Allen Wallace, DDS, MS 206 S Walker St, Princeton, WV 24740-2747 Ph: (304) 425-2611 |
Mrs. Laura Cox Williams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Locust St, Princeton, WV 24740 Phone: 304-487-5605 Fax: 304-487-5610 | |
Mr. Jon Michael Lovern, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 South Seventh Street, Princeton, WV 24740 Phone: 304-425-9519 Fax: 304-487-5013 | |
Dr. Charles H Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Stafford Dr, Princeton, WV 24740 Phone: 304-425-7320 | |
Dr. Edward Lynn Veneri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 100 Morrison Dr, Princeton, WV 24740 Phone: 304-425-8886 | |
Dr. Douglas H Roy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 Vine St, Princeton, WV 24740 Phone: 304-487-3115 Fax: 304-487-3120 | |
Dr. David Thomas St Clair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 New Hope Road, Medical Arts Clinic Suite 205, Princeton, WV 24740 Phone: 304-487-5437 |