DR. ERIC MICHAEL WALLACE (NPI# 1891838991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891838991 |
| Entity Type | Individual |
| Full Name | DR. ERIC MICHAEL WALLACE |
| Credential | DDS |
| Practice Address |
1515 State St Suite 9 Santa Barbara CA 93101-2536 |
| Practice Telephone | 8059627933 |
| Practice Fax Number | 8059627234 |
| Mailing Telephone | 8059627933 |
| Mailing Fax Number | 8059627234 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
52016 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417183476 | Eric T Wallace | Physical Therapist | W5361 County Road Kk Ste E, Appleton, WI 54915-7271 | 2009-06-04 |
| 1922218809 | Eric Wallace | Radiologic Technologist | 4004 Landside Dr, Louisville, KY 40220-3020 | 2007-05-22 |
| 1871706960 | Eric Wallace | Emergency Medicine | Paula Bldg 230, 728 Richard Arrington Blvd, Birmingham, AL 35294-0001 | 2007-05-07 |
| 1174665277 | Eric H Wallace | Dentist | 28 Se 6th St, Boca Raton, FL 33432-6016 | 2007-02-13 |
| 1780614529 | Eric L. Wallace | Surgery | 1450 Matthews Township Parkway, Suite 300, Matthews, NC 28105 | 2006-07-04 |
| 1912409160 | Eric Wallace | Psychologist | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2018-03-05 |
| 1528333838 | Eric Joseph Wallace Jr. | Radiology | 1542 Tulane Ave, Room 353, New Orleans, LA 70112-2865 | 2012-03-20 |
| 1568658243 | Eric L Wallace | Internal Medicine | 700 W Ironwood Dr, 320, Coeur D Alene, ID 83814-2656 | 2007-09-17 |
| 1154434488 | Eric Wallace | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2006-08-17 |
| 1578502191 | Eric Wallace | Radiology | 168 N Brent St, Suite 402, Ventura, CA 93003-2817 | 2006-06-06 |
| Street Address |
1515 STATE ST SUITE 9 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93101-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740274224 | Mary E. Secord | Marriage & Family Therapist | 1515 State St, Suite 5, Santa Barbara, CA 93101-2536 | 2005-09-09 |
| 1720252638 | Dennis A Shanelec | Dentist | 1515 State St, Suite 1, Santa Barbara, CA 93101-2536 | 2008-04-22 |
| 1174722581 | Timothy Paul Mathis | Dentist | 1515 State St, Suite # 12, Santa Barbara, CA 93101 | 2007-07-16 |
| 1649474339 | Joyce M. Lunt | Psychologist | 1515 State St, Suite #4, Santa Barbara, CA 93101-2536 | 2007-06-14 |
| 1558485094 | Michael Eugene Bruce | Dentist | 1515 State St, #6, Santa Barbara, CA 93101-2536 | 2007-03-19 |
| 1356495360 | John Hall Phreaner | Dentist | 1515 State St, Suite 18, Santa Barbara, CA 93101-2536 | 2007-01-23 |
| 1316926843 | Michael A Errico | Psychologist | 1515 State St, Suite 5, Santa Barbara, CA 93101-2536 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035998 | Danielle Marie Lauser | Marriage & Family Therapist | 735 State Street, Suite 416a, Santa Barbara, CA 93101 | 2020-02-18 |
| 1578056560 | Recovery Santa Barbara, Inc. | Voluntary or Charitable | 1532 Castillo Street, Main House and Units A and B, Santa Barbara, CA 93101 | 2018-06-13 |
| 1730678798 | Igor Lantsberg | Dentist | 31 W Gutierrez St, Santa Barbara, CA 93101 | 2018-05-05 |
| 1477071900 | Liliana De La Rocha | Counselor | 123 W Gutierrez Street, Santa Barbara, CA 93101 | 2017-09-05 |
| 1023531613 | Julie Roman | Counselor | 324 E Carrillo St Ste C, Santa Barbara, CA 93101 | 2017-07-25 |
| 1538689849 | Alejandra Sanchez | Counselor | 107 East Micheltorena St., Santa Barbara, CA 93101 | 2017-06-27 |
| 1205374725 | Suzanne Marlow | Marriage & Family Therapist | 27 East Victoria Street #m, Santa Barbara, CA 93101 | 2017-02-03 |
| 1063878395 | Kelly James Berger | Counselor | 133 East Haley Street, Santa Barbara, CA 93101 | 2015-12-31 |
| 1982080180 | Council On Alcohol and Drug Abuse | Early Intervention Provider Agency | 111 Garden Street, Santa Barbara, CA 93101 | 2015-08-11 |
| 1548656580 | Stella Sacks | Counselor | 107 E. Micheltorena Street, Santa Barbara, CA 93101 | 2015-04-07 |
| Find all providers in zip 93101 | ||||
| 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 |
|---|---|---|---|---|
| 1376675488 | G William Arnett | Dentist | 9 E Pedregosa, Santa Barbara, CA 93101 | 2007-03-12 |
| 1013049121 | James A Tamborello | Dentist | 9 East Pedregosa, Santa Barbara, CA 93101 | 2007-03-12 |
| 1497886840 | Michael John Gunson | Dentist | 334 S Patterson Ave Ste 205, Santa Barbara, CA 93111-2400 | 2007-03-08 |
| 1689709214 | David C Hall | Dentist | 9 E Pedregosa St, Santa Barbara, CA 93101-2416 | 2007-02-22 |
| 1982626255 | Robert Steven Kiken | Dentist | 2425 Bath St, Santa Barbara, CA 93105-4324 | 2006-07-24 |
| 1447807755 | B. Deirmenjian, Dds, Inc | Dentist | 5168 Hollister Ave, Santa Barbara, CA 93111-2526 | 2019-08-21 |
| 1881140291 | Dr. Robert S. Kiken | Dentist | 2425 Bath St, Santa Barbara, CA 93105-4324 | 2016-08-27 |
| 1972723260 | Jesse Lawrence Lanzon | Dentist | 2425 Bath St, Santa Barbara, CA 93105-4324 | 2007-04-27 |
| 1053534339 | Marc Howard Bienstock | Dentist | 9 E Pedregosa St, Santa Barbara, CA 93101-2416 | 2007-04-11 |
| 1386704930 | Walter Steven Michajlenko | Dentist | 2780 State St, Suite 9, Santa Barbara, CA 93105-5518 | 2006-12-12 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93101 |
Please comment or provide details below to improve the information on DR. ERIC MICHAEL 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.