Michael J. Wallace D.d.s. - Dental Clinic in Edmond, OK

Michael J. Wallace D.d.s. is a dental clinic (Dentist - General Practice) in Edmond, Oklahoma. The current practice location for Michael J. Wallace D.d.s. is 1600 E 19th St, Suite 301, Edmond, Oklahoma. For appointments, you can reach them via phone at (405) 340-0411. The mailing address for Michael J. Wallace D.d.s. is 1600 E 19th St, Suite 301, Edmond, Oklahoma and phone number is (405) 340-0411.

Michael J. Wallace D.d.s. is licensed to practice in Oklahoma (license number 5801) and its NPI number is 1669519559. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (405) 340-0411.

Contact Information

Michael J. Wallace D.d.s.
1600 E 19th St
Suite 301
Edmond
OK 73013-6622
(405) 340-0411
(405) 340-3217

Dental Care Clinic Profile

Full NameMichael J. Wallace D.d.s.
SpecialityDentist - General Practice
Location1600 E 19th St, Edmond, Oklahoma
Authorized Official Name and PositionMichael J Wallace (DENTIST)
Authorized Official Contact4053400411
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael J. Wallace D.d.s.
1600 E 19th St
Suite 301
Edmond
OK 73013-6622

Ph: (405) 340-0411
Michael J. Wallace D.d.s.
1600 E 19th St
Suite 301
Edmond
OK 73013-6622

Ph: (405) 340-0411

NPI Details:

NPI Number1669519559
Provider Enumeration Date01/31/2007
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Michael J. Wallace D.d.s. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669519559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5801 (Oklahoma)Primary

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