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

Phillip W Wallace DDS Inc

Organization General Practice Dentistry · NPI 1699140202

Phillip W Wallace DDS Inc is a General Practice Dentistry in Willoughby, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36001 Euclid Ave Ste A-15
Willoughby, OH 44094-4643
Phone: (440) 946-5485
Fax: (440) 946-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30.016266 (OH)

Record details

NPI number1699140202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Wallace — Owner · (440) 946-5484
NPI enumeratedDecember 8, 2015
Last updated in NPPESDecember 8, 2015
Mailing address36001 Euclid Ave, Suite A-15, Willoughby, OH 44094-4643

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