Dr. Douglas W. Wallace, DDS, MS
Dr. Douglas W. Wallace, DDS, MS is an Oral & Maxillofacial Surgery (D.M.D.) in Fairfield, Ohio. Licensed in Ohio. Registered with an NPI since 2007.
- Licensed in
- OH
- In the registry since
- 2007
What do these letters mean?
Practice location Address checks out
5188 Winton RdFairfield, OH 45014-2900
Phone: (513) 829-8080
Fax: (513) 858-4290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 30-01-6806 (OH) |
|---|
Record details
| NPI number | 1376698753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MS |
| Sole proprietor | No |
| NPI enumerated | January 24, 2007 |
| Last updated in NPPES | April 1, 2008 |
| Mailing address | 5188 Winton Rd, Fairfield, OH 45014-2900 |
Other providers in Fairfield
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Affilliates in Oral &maxillofacial Surgery Inc
5188 Winton Rd, Fairfield, OH 45014-2900 · (513) 829-8080