Jacob Robert Wallock, DDS
Jacob Robert Wallock, DDS is a General Practice Dentistry in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.
- Licensed in
- WI
- In the registry since
- 2021
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.
Practice location Address checks out
145 S Marr StFond Du Lac, WI 54935-4408
Phone: (920) 922-9000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 1002568-15 (WI) |
|---|
Record details
| NPI number | 1902485725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | April 7, 2021 |
| Last updated in NPPES | June 17, 2021 |
| Certification date | June 17, 2021 |
| Mailing address | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 |
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Dr. Christa Leigh Tran, DMD
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-
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Jody Lane Yeargan, DDS
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