SearchArkansas225100000X

Logan Wallace

NPI 1720798325 · on the registry since 2022

Practice

Address
1188 N Salem Rd Ste 1
Fayetteville, AR 72704
Phone
(479) 595-0474
Fax
(479) 239-5444
Organisation at this address
Rebecca Carlisle D.D.S. L.L.C.
Wedington Court Dental Associates
Medical Associates Of Northwest Arkansas Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
225100000X
225100000X
Sex
Female
Record last updated
2026-02-02

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 Arkansas