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

Dr. Kevin D Wallace, DMDPC

Individual provider Prosthodontics · NPI 1972750909

Dr. Kevin D Wallace, DMDPC is a Prosthodontics in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2008

Practice location Address checks out

1200 E Woodhurst Dr Ste A200
Springfield, MO 65804-3745
Phone: (417) 881-1123
Fax: (417) 883-0812
Show map & directions

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 number1972750909
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDPC
Sole proprietorYes
NPI enumeratedAugust 21, 2008
Last updated in NPPESAugust 21, 2008
Mailing address1200 E Woodhurst Dr Ste A200, Springfield, MO 65804-3745

Other providers in Springfield