Wallace, James C
Wallace, James C is an individual health care provider with primary practice located at 1680 Huguenot Rd , Midlothian VA 23113-2427. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wallace, James C can be contacted via phone (804) 379-7120.Contact Information
Primary practice address
1680 Huguenot Rd
Midlothian VA 23113-2427
Phone: (804) 379-7120
Fax: (804) 379-9835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 04729 | Virginia |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 06504 | Florida |
Profile Details
| NPI number | 1184721987 |
|---|---|
| LBN Legal business name | Wallace, James C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - 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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