| Phillip Wendell Wallace, DDS | |
|
36001 Euclid Ave Ste A15, Willoughby, OH 44094-4643 | |
| (440) 946-5484 | |
| (440) 946-5810 |
| Full Name | Phillip Wendell Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 36001 Euclid Ave Ste A15, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083759930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16266 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Wendell Wallace, DDS 36001 Euclid Ave Ste A15, Willoughby, OH 44094-4643 Ph: (440) 946-5484 | Phillip Wendell Wallace, DDS 36001 Euclid Ave Ste A15, Willoughby, OH 44094-4643 Ph: (440) 946-5484 |
Dr. Lisa Anne Richards, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4699 Hamann Pkwy, Willoughby, OH 44094 Phone: 440-942-0860 Fax: 440-951-1246 | |
Dr. Thomas Koustis, DDS Dentist Medicare: Medicare Enrolled Practice Location: 35403 Euclid Ave, Suite 200, Willoughby, OH 44094 Phone: 440-942-1161 Fax: 440-918-9625 | |
Dr. James B Solon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4212 State Route 306, Suite 308, Willoughby, OH 44094 Phone: 440-946-2726 | |
Dr. Richard John Gustaferro, DDS Dentist Medicare: Medicare Enrolled Practice Location: 35100 Euclid Avenue, Suite #209, Willoughby, OH 44094 Phone: 440-946-1076 Fax: 440-946-2276 | |
Dr. Darlyne Frazee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 36001 Euclid Ave, #a-3, Willoughby, OH 44094 Phone: 440-946-6373 | |
Dr. Anthony Victor Valaitis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4212 State Route 306, Suite 308, Willoughby, OH 44094 Phone: 440-946-2726 Fax: 440-946-8163 |