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

Dr. Jeffrey Robert Wallace, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306006796

Dr. Jeffrey Robert Wallace, DDS is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1365 Clifton Rd NE Bldg B Ste 2300
Atlanta, GA 30322-1013
Phone: (404) 778-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306006796
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESJune 10, 2008
Mailing address44 Peachtree Pl Nw, Unit 722, Atlanta, GA 30309-5408

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