| Dr John Henry Wallace, DDS | |
|
583 Moull St, Newark, OH 43055-2909 | |
| (740) 366-1988 | |
| (740) 364-0774 |
| Full Name | Dr John Henry Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 583 Moull St, Newark, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144333261 | NPI | - | NPPES |
| 0434800 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16606 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Henry Wallace, DDS 583 Moull St, Newark, OH 43055-2909 Ph: (740) 366-1988 | Dr John Henry Wallace, DDS 583 Moull St, Newark, OH 43055-2909 Ph: (740) 366-1988 |
Jeffrey C. Kirian, DDS Dentist Medicare: Medicare Enrolled Practice Location: 740 N 21st St, Newark, OH 43055 Phone: 740-366-1236 Fax: 740-348-0043 | |
Dr. Minesh A Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 74 S 30th St, Newark, OH 43055 Phone: 740-522-4803 Fax: 740-344-1530 | |
Dr. Albert Terrence Conlisk Iii, DDS, MD Dentist Medicare: Medicare Enrolled Practice Location: 1976 Granville Rd, Newark, OH 43055 Phone: 740-231-2121 Fax: 740-231-5255 | |
Dr. Benjamin Nathan Jump, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1634 W Church St, Newark, OH 43055 Phone: 740-344-1810 Fax: 740-344-0440 | |
Dr. Shayer R Shah, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1619 W Main St, Newark, OH 43055 Phone: 740-522-1133 Fax: 740-522-1178 | |
Dr. Mark L Grosko, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 843 N 21st St, Suite 103, Newark, OH 43055 Phone: 740-344-6349 Fax: 740-344-6350 |