DR. DEBORAH S WALLACE (NPI# 1124195359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124195359 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH S WALLACE |
| Credential | D.D.S |
| Practice Address |
445 Highway 79 Dover TN 37058-6941 |
| Mailing Address |
445 Highway 79 P. O. Box 435 Dover TN 37058-6941 |
| Practice Telephone | 9312328287 |
| Practice Fax Number | 9312322310 |
| Mailing Telephone | 9312328287 |
| Mailing Fax Number | 9312322310 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS3823 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548665037 | Deborah Wallace | Contractor | 1115 13th St Se, Canton, OH 44707-3425 | 2014-10-27 |
| 1821333113 | Deborah Elaine Wallace | Physical Therapy Assistant | 5147 Spring St, Sylvania, OH 43560-2832 | 2012-11-28 |
| 1194251173 | Deborah Wallace | Counselor | 801 Empire St, Fairfield, CA 94533 | 2017-05-11 |
| 1215387832 | Deborah Wallace | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2016-06-14 |
| 1235526633 | Deborah Wallace | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-04-23 |
| 1083859730 | Deborah Elaine Wallace | Nurse Practitioner | 3601 Tvc, Nashville, TN 37232-0001 | 2008-12-10 |
| 1295950244 | Deborah A. Wallace | Occupational Therapist | 710 S Paulina St, Chicago, IL 60612-3808 | 2007-04-16 |
| 1184654709 | Deborah I Wallace | Pediatrics | 3840 Ruckriegel Pkwy, Suite 105, Louisville, KY 40299-6835 | 2006-07-03 |
| 1184667388 | Deborah A Wallace | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | 2006-06-14 |
| Street Address |
445 HIGHWAY 79 |
| City | DOVER |
| State | TN |
| Zip Code | 37058-6941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474681 | Rebecca Cravens | Nurse Practitioner | 1511 Donelson Parkway, Dover, TN 37058 | 2016-01-12 |
| 1487894028 | Joselito A Pasaol | Physical Therapist | 402 C Church Street, Dover, TN 37058 | 2009-02-23 |
| 1588809461 | Lakeway Physical Therapy Outpatient, Pllc | Clinic/Center | 402-c Church St., Dover, TN 37058 | 2008-12-08 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1437333614 | Tammy Lagan | Occupational Therapist | 949 Hwy 79, Dover, TN 37058 | 2007-12-24 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1689640898 | Price Edwin Hopson Jr. | Dentist | 1021 Spring St, Dover, TN 37058 | 2006-02-27 |
| 1154801207 | Crystal Lynn Shaw | Nurse Practitioner | 1511 Donelson Pkwy, Dover, TN 37058 | 2018-08-17 |
| 1235630112 | Elizabeth Amelia Estock | Registered Nurse | 1021 Spring St, Dover, TN 37058 | 2018-02-26 |
| 1740793736 | Mei-suey Chen | Internal Medicine | 314 Cedar St, Dover, TN 37058 | 2017-11-13 |
| Find all providers in zip 37058 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700312527 | Michael James Moeller | Dentist | 748 S New St Ste C, Dover, DE 19904-3573 | 2017-05-11 |
| 1497203814 | New Smile Dental | Dentist | 411 Us Highway 46, Dover, NJ 07801-3709 | 2016-09-14 |
| 1134571565 | Kehan Li | Dentist | 60 Wolf Creek Blvd, Dover, DE 19901-4971 | 2016-07-11 |
| 1609235787 | Dowell Dental Holdings Dover LLC | Dentist | 328 Race St, Dover, OH 44622-2930 | 2016-02-17 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1447671805 | Kelly Michele Hollis | Dentist | 2320 Dogwood Road, Dover, PA 17315 | 2014-01-02 |
| 1235402496 | Access Dental, LLC | Dentist | 446a S New St, Dover, DE 19904-6725 | 2012-02-20 |
| 1740417096 | Joseph A Loboda IIi | Dentist | 66 E Mcfarlan St Ste 3, Dover, NJ 07801-3533 | 2009-06-14 |
| 1275790990 | Scott W. Booth | Dentist | 404 N Walnut St, Dover, OH 44622-2850 | 2008-05-20 |
| 1710198163 | Dennis Louis Errichiello | Dentist | 411 Rt. 46 East, Dover, NJ 07801 | 2007-05-25 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.