WILLIAM E WALLACE (NPI# 1710231451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710231451 |
| Entity Type | Individual |
| Full Name | WILLIAM E WALLACE |
| Credential | D.M.D. |
| Practice Address |
10015 Ford Ave Richmond Hill GA 31324 |
| Mailing Address |
Po Box 760 Richmond Hill GA 31324-0760 |
| Practice Telephone | 9127563880 |
| Practice Fax Number | 9127563516 |
| Mailing Telephone | 9127563880 |
| Mailing Fax Number | 9127563516 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9665 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500834 | William J Wallace Jr. | Chiropractor | 22415 Market St Apt 1406, Cornelius, NC 28031-3028 | 2019-10-18 |
| 1851740609 | William Robert Wallace | Internal Medicine | 20828 W Deer Ridge Dr, Warrenton, MO 63383-6548 | 2016-06-11 |
| 1093143745 | William Dean Wallace | Pathology | 747 W 4170 S, Murray, UT 84123-1364 | 2013-10-16 |
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1598028474 | William Todd Wallace | Physical Therapist | 8225 Coyote Trl, Texarkana, TX 75503-9657 | 2012-06-16 |
| 1184842627 | William Arthur Wallace Jr. | Surgery | 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 | 2007-04-22 |
| 1013087121 | William R Wallace | Chiropractor | 139 Morristown Rd, Bernardsville, NJ 07924-2606 | 2006-11-08 |
| 1508880493 | William C Wallace | Physical Therapist | 1113 N Castle Heights Ave, Suite D, Lebanon, TN 37087-5640 | 2006-07-26 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1225087562 | William E Wallace | Surgery | 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 | 2006-05-06 |
| Street Address |
10015 FORD AVE |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316184575 | David S. Dority | Dentist | 10015 Ford Ave, 2-a St. Joseph Medical Plaza, Richmond Hill, GA 31324-8804 | 2009-01-09 |
| 1740427905 | Richmond Hill Family & Cosmetic Dentistry | Dentist | 10015 Ford Ave, 2-a St. Joseph Medical Plaza, Richmond Hill, GA 31324-8804 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256784 | Noushin Moghaddassi | Dentist | 22 Roderick Court, Richmond Hill, ONTARIO L4E 0B4 | 2020-05-07 |
| 1780218081 | Ny Metro Dental, PC | Dentist | 119-01 Liberty Avenue, Richmond Hill, NY 11419 | 2020-02-25 |
| 1952694101 | Seth M Faigen | Dentist | 11614 Metropolitan Ave, Richmond Hill, NY 11418-1017 | 2011-05-20 |
| 1598069379 | Oasis Family Dental Pllc | Dentist | 10911 Jamaica Ave, Richmond Hill, NY 11418-2335 | 2011-01-07 |
| 1669788808 | Whtdmd,llc | Dentist | 10140 Ford Ave, Suite G2, Richmond Hill, GA 31324-3992 | 2010-08-25 |
| 1780815894 | Oleg Nektalov | Dentist | 135-06 A Jamaica Ave, Richmond Hill, NY 11418 | 2009-08-06 |
| 1316184575 | David S. Dority | Dentist | 10015 Ford Ave, 2-a St. Joseph Medical Plaza, Richmond Hill, GA 31324-8804 | 2009-01-09 |
| 1952558090 | Paul S. Froude | Dentist | 12650 Ga Highway 144, Richmond Hill, GA 31324-7339 | 2008-08-20 |
| 1912165663 | Sepideh Niknam-razi | Dentist | 11707 Jamaica Ave, Richmond Hill, NY 11418-2435 | 2008-05-29 |
| 1780870261 | Quisqueya Dental | Dentist | 11310 Jamaica Ave, Richmond Hill, NY 11418-2440 | 2007-09-19 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on WILLIAM E WALLACE.
| 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.