| Dr Jody Paul Wallace, DDS | |
|
2148 Highway 54, Graham, NC 27253 | |
| (336) 578-3884 | |
| (336) 578-3814 |
| Full Name | Dr Jody Paul Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2148 Highway 54, Graham, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740210103 | NPI | - | NPPES |
| 89902J1 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7500 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jody Paul Wallace, DDS 2148 Highway 54, Graham, NC 27253 Ph: (336) 578-3884 | Dr Jody Paul Wallace, DDS 2148 Highway 54, Graham, NC 27253 Ph: (336) 578-3884 |
Nathaniel Edward Mitchum, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 608 E Pine St, Graham, NC 27253 Phone: 336-227-2202 | |
Dr. Mary Makhlouf, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 E Elm St, Graham, NC 27253 Phone: 336-226-8406 Fax: 336-226-9281 | |
Dr. Matthew Patrick Ellison, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 West Crescent Square Dr., Graham, NC 27253 Phone: 336-570-3882 Fax: 336-570-3583 | |
Larry Grady Causey, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 204 S Marshall St, Graham, NC 27253 Phone: 336-227-1187 Fax: 336-506-1004 | |
Dr. Brian A. Brenneman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 608 E Pine St, Graham, NC 27253 Phone: 336-227-2202 Fax: 336-227-2202 | |
Charla Leigh Rose, DDS Dentist Medicare: Medicare Enrolled Practice Location: 204 S Marshall St, Graham, NC 27253 Phone: 336-227-1187 | |
Dr. Phillip Lane Savage, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 W Crescent Square Dr, Graham, NC 27253 Phone: 336-570-3882 |