Wallace, Roy T.
Wallace, Roy T. is an sole proprietor health care provider with primary practice located at 655 Boston Rd Ste 3A , Billerica MA 01821-5338. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wallace, Roy T. can be contacted via phone (978) 667-0691.Contact Information
Primary practice address
655 Boston Rd Ste 3A
Billerica MA 01821-5338
Phone: (978) 667-0691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13403 | Massachusetts |
Profile Details
| NPI number | 1437291200 |
|---|---|
| LBN Legal business name | Wallace, Roy T. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| 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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