Wallace, Douglas W.

Wallace, Douglas W. is an individual health care provider with primary practice located at 5188 Winton Rd , Fairfield OH 45014-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Wallace, Douglas W. can be contacted via phone (513) 829-8080.

Contact Information

Primary practice address
5188 Winton Rd Fairfield OH 45014-2900
Phone: (513) 829-8080
Fax: (513) 858-4290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 30-01-6806 Ohio

Profile Details

NPI number 1376698753
LBN Legal business name Wallace, Douglas W.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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