| David A. Wallace, Dds, Ms, Ltd. | |
|
3712 S Main St Blacksburg VA 24060-7017 | |
| (540) 552-7222 | |
| (540) 953-3096 |
| Full Name | David A. Wallace, Dds, Ms, Ltd. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3712 S Main St, Blacksburg, Virginia |
| Authorized Official Name and Position | Ella Hurst (OFC. MNGR.) |
| Authorized Official Contact | 3044252611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Wallace, Dds, Ms, Ltd. 3712 S Main St Blacksburg VA 24060-7017 Ph: (540) 552-7222 | David A. Wallace, Dds, Ms, Ltd. 3712 S Main St Blacksburg VA 24060-7017 Ph: (540) 552-7222 |
| NPI Number | 1356536593 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356536593 | NPI | - | NPPES |
| 0138333000 | Medicaid | WV | |
| 8000476 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 03440 (Virginia) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1880 (West Virginia) | Secondary |
Daniel E. Thompson, Dennis C.schnecker&damon B. Thompson, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 S Main St, Blacksburg, VA 24060 Phone: 540-953-2980 Fax: 540-953-2005 | |
Nrv Oral & Maxillofacial Surgery, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr Se, Suite 1, Blacksburg, VA 24060 Phone: 540-951-8777 Fax: 540-951-9642 | |
New River Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 S Main St, Suite 1401, Blacksburg, VA 24060 Phone: 540-951-2260 Fax: 540-951-2268 | |
Dr. Leander Lanier Sr., D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Professional Park Dr Se, Suite 5, Blacksburg, VA 24060 Phone: 540-552-0101 | |
Matthew T. Ankrum Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3708 S Main St Ste H, Blacksburg, VA 24060 Phone: 540-552-1100 Fax: 540-552-6900 | |
Joe A. Paget, Jr. Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr Se, Suite #2, Blacksburg, VA 24060 Phone: 540-951-9100 Fax: 540-953-3148 | |
Bass & Kamp South Main Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Professional Park Dr Se Ste 11, Blacksburg, VA 24060 Phone: 540-951-3989 |