Phillip W Wallace Dds Inc

LBN: Phillip W Wallace Dds Inc
Phillip W Wallace Dds Inc is an health care organization with primary practice located at 36001 Euclid Ave Suite A-15, Willoughby OH 44094-4643. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Phillip W Wallace Dds Inc can be contacted via phone (440) 946-5485, or through Wallace, Phillip W via phone (440) 946-5484.

Contact Information

Primary practice address
36001 Euclid Ave Suite A-15 Willoughby OH 44094-4643
Phone: (440) 946-5485
Fax: (440) 946-5810
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Phillip W Doctor of Dental Surgery (DDS)
Phone: (440) 946-5484

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30.016266 Ohio

Profile Details

NPI number 1699140202
LBN Legal business name Phillip W Wallace Dds Inc
DBA Doing business as
Authorized official Wallace, Phillip W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2015
Last updated Dec 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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