Kevin D Wallace DMD, PC
Kevin D Wallace DMD, PC is a Prosthodontics in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1200 E Woodhurst Dr Ste 200-ASpringfield, MO 65804-4257
Phone: (417) 881-1123
Fax: (417) 883-0812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence 014935 (MO) |
|---|
Record details
| NPI number | 1841404019 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Wallace — Dentist · (417) 881-1123 |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | August 21, 2008 |
| Mailing address | 1200 E Woodhurst Dr, Suite 200-A, Springfield, MO 65804-4257 |
Other providers in Springfield
-
Glen H Petteway, DDS, PC
1200 E Woodhurst Dr Bld T Ste 300, Springfield, MO 65804-4261 · (417) 887-7114
-
Dr. Carol Kim, DDS
3842 S Glenstone Ave, Springfield, MO 65804-4418 · (417) 420-9024
-
Dr. Glen H Petteway, DDS
1200 E Woodhurst Ste T300, Springfield, MO 65804-3784 · (417) 887-7114
-
Dr. Robert Lee Swords, DDS
618 N Benton Ave, Springfield, MO 65806-1102 · (417) 831-0150
-
Dr. Kevin D Wallace, DMDPC
1200 E Woodhurst Dr Ste A200, Springfield, MO 65804-3745 · (417) 881-1123