SearchKentuckyGeneral Practice Dentistry

Brian Wallace, DMD

NPI 1093866121 · on the registry since 2007 · sole proprietor

Practice

Address
781 S Lake Dr
Suite 1
Prestonsburg, KY 41653
Phone
(606) 886-2676
Fax
(606) 886-2741
Organisation at this address
Mountain Comprehensive Care Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky