SearchTexasOral and Maxillofacial Surgery (Dentist)

John Wallace, DDS, MD

NPI 1811978349 · on the registry since 2005

Practice

Address
8315 Walnut Hill Ln Ste 120
Dallas, TX 75231
Phone
(214) 363-9946
Fax
(214) 389-1953
Organisation at this address
Surgistar Lp
Charles W Bradley Dds Pa
Smile Texas Outreach, Pc
John D. Wallace, Dds, Md, Pa
Charles P. Guerriero Iii, Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-16

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 Texas