R Wallace, DDS
NPI 1285744151 · on the registry since 2006
Practice
- Address
- 11135 Chapman Hwy
Seymour, TN 37865 - Phone
- (865) 577-1963
- Fax
- (865) 577-1014
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-10
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 Tennessee