Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David A. Wallace, DDS, MS, Ltd

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1356536593

David A. Wallace, DDS, MS, Ltd is an Oral and Maxillofacial Surgery (Dentist) in Blacksburg, Virginia. Licensed in Virginia and West Virginia. Registered with an NPI since 2007.

Licensed in
VA, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3712 S Main St
Blacksburg, VA 24060-7017
Phone: (540) 552-7222
Fax: (540) 953-3096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 03440 (VA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 1880 (WV)

Record details

NPI number1356536593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ella Hurst — Ofc. Mngr. · (304) 425-2611
NPI enumeratedSeptember 11, 2007
Last updated in NPPESSeptember 6, 2023
Mailing address3712 S Main St, Blacksburg, VA 24060-7017

Other providers in Blacksburg