DR. JOHN DAVID WALLACE (NPI# 1811978349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811978349 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID WALLACE |
| Credential | DDS, MD |
| Practice Address |
10830 N Central Expy Ste 495 Dallas TX 75231-1050 |
| Practice Telephone | 2147506860 |
| Practice Fax Number | 2142650066 |
| Mailing Telephone | 2147506860 |
| Mailing Fax Number | 2142650066 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
19862 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508868 | John E Wallace | Physical Therapist | 1060 Nimitzview Dr Ste 205, Cincinnati, OH 45230-4351 | 2018-05-17 |
| 1679900161 | John D Wallace | Counselor | 1455 Nw 53rd St Apt 222, Miami, FL 33142 | 2013-09-30 |
| 1437590973 | John Burton Wallace V | Social Worker | 141 S 5th St Ofc East, Brooklyn, NY 11211 | 2013-07-12 |
| 1346517307 | John Widtsoe Wallace | Specialist | 1091 Southport Dr, Medina, OH 44256-3019 | 2011-11-18 |
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 1629241070 | John Dean Wallace Jr. | Dentist | 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843 | 2008-04-08 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1346379161 | John G Wallace | Psychiatry & Neurology | 17515 N Park Pl N, Shoreline, WA 98133-4803 | 2007-03-05 |
| 1841359775 | John Thomas Wallace | Chiropractor | 3314 Us Highway 431, Albertville, AL 35950 | 2006-12-06 |
| 1316038839 | John Kline Wallace | Dentist | 2501 Princess Anne St, Fredericksburg, VA 22401-3333 | 2006-09-28 |
| Street Address |
10830 N CENTRAL EXPY STE 495 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303067 | Mark H Hebert | Anesthesiology | 10830 N Central Expy, Ste 330, Dallas, TX 75231-1050 | 2005-06-01 |
| 1386006237 | Plastic Surgery and Breast Reconstruction Association of North Texas | Physician Assistant | 10830 N Central Expy, Suite 120, Dallas, TX 75231-1050 | 2016-03-21 |
| 1154715753 | Mobile Dental Care Pma, LLC | Dentist | 10830 N Central Expy, Ste 495, Dallas, TX 75231-1050 | 2015-03-23 |
| 1669876835 | Linkiewicz-gawel Md Pa | Anesthesiology | 10830 N Central Expy, 120, Dallas, TX 75231-1050 | 2014-10-17 |
| 1811303845 | Lkw Rnfa | Registered Nurse | 10830 N Central Expy, 120, Dallas, TX 75231-1050 | 2014-07-10 |
| 1710392519 | Sarah Parker Allen | Dentist | 10830 N Central Expy, Ste 495, Dallas, TX 75231-1050 | 2014-07-01 |
| 1679995807 | Barbara A Biedenbender | Specialist/Technologist, Other | 10830 N Central Expy, 120, Dallas, TX 75231-1050 | 2014-01-07 |
| 1871915157 | Carol C Burns Md Pa | Anesthesiology | 10830 N Central Expy, 120, Dallas, TX 75231-1050 | 2014-01-06 |
| 1346592623 | Excel First Assistant | Specialist | 10830 N Central Expy, Suite 120, Dallas, TX 75231-1050 | 2012-10-10 |
| 1801151915 | Alicia Marie Spence | Dentist | 10830 N Central Expy, Suite 496, Dallas, TX 75231-1050 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1629428941 | Texas Wisdom Teeth & Dental Implants | Dentist | 14856 Preston Rd Ste 104, Dallas, TX 75254-6844 | 2016-06-17 |
| 1205253614 | John William Gannon | Dentist | 8315 Walnut Hill Ln Ste 120, Dallas, TX 75231 | 2014-03-24 |
| 1649616434 | Andrew Anthony Arango | Dentist | 8611 Hillcrest Ave Ste 235, Dallas, TX 75225-4231 | 2013-05-20 |
| 1659714228 | Danielle Gladneice Gill | Dentist | 195 W Davis St Apt 408, Dallas, TX 75208-4429 | 2013-04-12 |
| 1811280001 | Matthew James Krieger | Dentist | 5321 E Mockingbird Ln Ste 210, Dallas, TX 75206-0915 | 2011-05-19 |
| 1396063608 | Mohammed M Al-obaidi | Dentist | 3120 State St Apt J, Dallas, TX 75204-2626 | 2010-05-11 |
| 1780815365 | Randy Robert Sanovich | Dentist | 12740 Hillcrest Rd Ste 100, Dallas, TX 75230-2050 | 2009-07-31 |
| 1477782266 | Joshua Alan Stone | Dentist | 6333 Forest Park Rd # 130, Dallas, TX 75235-5461 | 2009-07-14 |
| 1467621011 | Metroplex Surgical Arts, P.a. | Dentist | 7988 W Virginia Dr Ste 200, Dallas, TX 75237-3764 | 2008-02-28 |
| Find all providers in DALLAS | ||||
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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.