DR. JONI K WALLACE


Address: 2414 Exposition Blvd, Suite B-105, Austin, TX 78703
Phone: 5122361611

DR. JONI K WALLACE (NPI# 1487871968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487871968
Entity Type Individual
Full Name DR. JONI K WALLACE
Practice Address 2414 Exposition Blvd
Suite B-105
Austin
TX 78703
Practice Telephone 5122361611
Practice Fax Number 5122360767
Enumeration Date 2007-04-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
18163 TX Dental Providers

Office Location

Street Address 2414 EXPOSITION BLVD
SUITE B-105
City AUSTIN
State TX
Zip Code 78703

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NPI Name Taxonomy Address Enumeration
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1073904447 Danielle Frommer Behavioral Analyst 311 Bowie St Apt 1903, Austin, TX 78703 2015-02-06
1437391711 Brett Douglas Macadam Radiology 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 2009-04-01
1184878191 Albright Medical Associates Family Medicine 800 W. 5th St, #201, Austin, TX 78703 2008-11-05
1063616662 Anna C Bell Pediatrics 1912 N. 35th St., Austin, TX 78703 2007-06-14
1447472808 Austin Wellness Institute General Practice 1501 W 5th Street, Suite 109, Austin, TX 78703 2007-05-03
1073631339 Tays General Dentistry Pa Dentist 3404 Kerbey Lane, Austin, TX 78703 2007-03-26
1083758270 Amy Carlisle Goodwin Counselor 2408 Enfield Rd, #213, Austin, TX 78703 2007-02-19
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750980025 Neda Hani Tabaei Zavareh Dentist 10900 Twisted Elm Dr, Austin, TX 78726-2369 2020-10-19
1356956882 Pediatric Dental Professionals, Pllc Dentist 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 2020-09-11
1043823727 Dimple Sharma Pllc Dentist 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 2020-08-24
1295343036 Nair & Pillai Serenity Dental, Pllc Dentist 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 2020-07-17
1972130672 Meredith Rae Mosier Dentist 421 W 3rd St Apt 811, Austin, TX 78701-4166 2020-03-24
1144863861 Michelle Hedgecock Dds Pllc Dentist 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 2019-10-25
1275174799 Debora L Ayres Dentist 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 2019-10-06
1922649730 Sarah Workman Dentist 11615 Angus Rd Ste 110, Austin, TX 78759-4006 2019-10-02
1568013761 River Place Dental Dentist 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 2019-09-28
1508411372 Abram Ortega Dentist 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 2019-08-07
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Competitor

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City AUSTIN
Zip Code 78703

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Dataset Information

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.

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