John Wallace, DDS
NPI 1144333261 · on the registry since 2006 · sole proprietor
Practice
- Address
- 583 Moull St
Newark, OH 43055 - Phone
- (740) 366-1988
- Fax
- (740) 364-0774
- Organisation at this address
- Newark Dental Group, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OH
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 Ohio