Search › Ohio › Oral & Maxillofacial Surgery (D.M.D.)
Douglas Wallace, D.D.S., M.S
NPI 1376698753 · on the registry since 2007
Practice
- Address
- 5188 Winton Rd
Fairfield, OH 45014 - Phone
- (513) 829-8080
- Fax
- (513) 858-4290
- Organisation at this address
- Affilliates In Oral &Maxillofacial Surgery Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Oral & Maxillofacial Surgery (D.M.D.)
204E00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-01
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