R WALLACE, DDS

Dentist

Active Individual
NPI: 1285744151

Practice Address

11135 CHAPMAN HWY
Seymour, TN 37865

Phone: (865) 577-1963

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D54694 (TN)

Frequently Asked Questions

NPI 1285744151 is the National Provider Identifier for R WALLACE, DDS, a Dentist provider located in Seymour, TN. This NPI was enumerated on August 30, 2006.
R WALLACE, DDS practices at 11135 CHAPMAN HWY, Seymour, TN 37865.

Quick Facts

NPI
1285744151
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Oct 10, 2016

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