| Phillip W Wallace Dds Inc | |
|
36001 Euclid Ave Suite A-15 Willoughby OH 44094-4643 | |
| (440) 946-5485 | |
| (440) 946-5810 |
| Full Name | Phillip W Wallace Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 36001 Euclid Ave, Willoughby, Ohio |
| Authorized Official Name and Position | Phillip W Wallace (OWNER) |
| Authorized Official Contact | 4409465484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip W Wallace Dds Inc 36001 Euclid Ave Suite A-15 Willoughby OH 44094-4643 Ph: (440) 946-5485 | Phillip W Wallace Dds Inc 36001 Euclid Ave Suite A-15 Willoughby OH 44094-4643 Ph: (440) 946-5485 |
| NPI Number | 1699140202 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699140202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.016266 (Ohio) | Primary |
Affiliated Family Dentistry Marc B.price,d.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4212 State Route 306, Suite #300, Willoughby, OH 44094 Phone: 440-954-9544 Fax: 440-954-9539 | |
Richard A Krantz Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35104 Euclid Ave, #310, Willoughby, OH 44094 Phone: 440-951-1778 Fax: 440-951-1784 | |
Michael D. Stern D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34950 Chardon Rd, Suite 209, Willoughby, OH 44094 Phone: 440-975-8444 Fax: 440-975-2224 | |
Eileen M Carney Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35104 Euclid Ave Suite 109, Willoughby, OH 44094 Phone: 440-942-0994 Fax: 440-942-3569 | |
Kent A. Caserta, Dds., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 38530 Lake Shore Blvd, Willoughby, OH 44094 Phone: 440-953-1733 Fax: 440-946-1650 | |
Dentalworks Of Willoughby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36173 Euclid Ave, Willoughby, OH 44094 Phone: 440-946-0640 Fax: 216-584-1085 | |
Drs. Akst And Batos Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34920 Ridge Rd, Suite 200, Willoughby, OH 44094 Phone: 440-951-1008 Fax: 440-951-6848 |