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

Dr. Patrick L Wallace, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1508857053

Dr. Patrick L Wallace, DDS is an Oral and Maxillofacial Surgery (Dentist) in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.

Licensed in
OK
In the registry since
2005
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

1119 Walnut Dr Ste 2
Ardmore, OK 73401-2360
Phone: (580) 226-1727
Fax: (580) 226-9413
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4988 (OK)

Record details

NPI number1508857053
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESJanuary 13, 2014
Mailing addressPo Box 108816, Oklahoma City, OK 73101-8816

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