Dr Victor F Wallace, DDS is a
Dentist - General Practice based in Malvern, Ohio. Dr Victor F Wallace is licensed to practice in Ohio (license number 15927) and his current practice location is
31 Pueblo Trl, Malvern, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 863-4055.
NPI number for Dr Victor F Wallace is 1750570107 and his current mailing address is 31 Pueblo Trl, Malvern, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750570107.
Healthcare Provider's Profile
| Full Name | Dr Victor F Wallace |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 31 Pueblo Trl, Malvern, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750570107
- Provider Enumeration Date: 10/22/2007
- Last Update Date: 05/24/2016
Medical Identifiers
Medical identifiers for Dr Victor F Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750570107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 15927 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Victor F Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Victor F Wallace, DDS
31 Pueblo Trl,
Malvern, OH 44644-9528
Ph: (330) 863-4055 | Dr Victor F Wallace, DDS
31 Pueblo Trl,
Malvern, OH 44644-9528
Ph: (330) 863-4055 |
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