| Dr Dustin Guy Wallace, DDS | |
|
2801 S Olive St, Pine Bluff, AR 71603-5433 | |
| (870) 663-4180 | |
| Not Available |
| Full Name | Dr Dustin Guy Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2801 S Olive St, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770932808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32331 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 4095 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dustin Guy Wallace, DDS 1165 Arrowhead Rd, Pine Bluff, AR 71603-9443 Ph: (870) 543-0529 | Dr Dustin Guy Wallace, DDS 2801 S Olive St, Pine Bluff, AR 71603-5433 Ph: (870) 663-4180 |
Dr. Charles Garrett Taylor Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3721 S Olive St, Pine Bluff, AR 71603 Phone: 870-536-6917 Fax: 870-536-4404 | |
John Philip Mckenzie Davis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-879-4870 | |
Dixie Lozano Lopez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3721 S Olive St, Pine Bluff, AR 71603 Phone: 870-541-0136 | |
Dr. William T Shepherd, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1242 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-535-0301 Fax: 870-535-5724 | |
Dr. John Williams Ross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3721 Olive Street, Pine Bluff, AR 71603 Phone: 870-536-6917 Fax: 870-536-4404 | |
Michael D Clark, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1616 S Cherry St, Pine Bluff, AR 71601 Phone: 870-534-2151 | |
Dr. Maxwell U Fleming Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 3721 S Olive, Ste B, Pine Bluff, AR 71603 Phone: 870-536-9800 Fax: 870-536-9804 |