| Dr Patrick L Wallace, DDS | |
|
1119 Walnut Dr, Suite 2, Ardmore, OK 73401-2360 | |
| (580) 226-1727 | |
| (580) 226-9413 |
| Full Name | Dr Patrick L Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1119 Walnut Dr, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508857053 | NPI | - | NPPES |
| 100119640A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4988 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick L Wallace, DDS Po Box 108816, Oklahoma City, OK 73101-8816 Ph: (405) 848-7974 | Dr Patrick L Wallace, DDS 1119 Walnut Dr, Suite 2, Ardmore, OK 73401-2360 Ph: (580) 226-1727 |
David Harris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2510 Chickasaw Blvd, Ardmore, OK 73401 Phone: 580-226-8181 Fax: 580-226-5471 | |
Dr. Craig A Gerken, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1201 Kiowa Street, Ardmore, OK 73401 Phone: 580-226-8868 Fax: 580-226-4926 | |
Dr. Jolecia Hardin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-0010 | |
Mr. Francis Manuel Montemayor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 115 M St Sw, Ardmore, OK 73401 Phone: 580-226-4968 | |
Dr. Joshua Kuykendall, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2401 12th Ave Nw, Ardmore, OK 73401 Phone: 580-798-0340 | |
Dr. John L Sjulin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 808 16th Ave Nw, Ardmore, OK 73401 Phone: 580-226-2822 Fax: 580-226-7561 | |
Dr. Joseph Solomon Treanor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1610 Walnut Dr, Ardmore, OK 73401 Phone: 580-504-7586 |