| Dr Brian Wallace, DMD | |
|
781 S Lake Dr, Suite 1, Prestonsburg, KY 41653-1340 | |
| (606) 886-2676 | |
| (606) 886-2741 |
| Full Name | Dr Brian Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 781 S Lake Dr, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093866121 | NPI | - | NPPES |
| 60070083 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7008 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Wallace, DMD 3900 Ky Route 1750, East Point, KY 41216-8824 Ph: () - | Dr Brian Wallace, DMD 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653-1340 Ph: (606) 886-2676 |
Dr. James R. Stambaugh, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653 Phone: 606-886-8546 | |
Dr. Robert Keith Leslie, DMD Dentist Medicare: Medicare Enrolled Practice Location: 400 University Dr, Prestonsburg, KY 41653 Phone: 606-886-2010 | |
Dr. Bill Francis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653 Phone: 606-886-2676 Fax: 606-886-2741 | |
Dr. Anita Hale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4807 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-8400 Fax: 606-886-8471 | |
Dr. Demetra Francis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653 Phone: 606-886-2676 Fax: 606-886-2741 | |
Dr. Robert Bradley Herrick, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 S Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-1095 Fax: 606-886-0221 |