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Deactivated NPI 1619106515 Deactivated / Inactive NPI Female Practitioner

Dr. Kathryn Susan Wallace , DDS

Dentist - General Practice • Yerington, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kathryn Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2009
NPI Deactivation Date July 13, 2018
Total Practice Duration ~9 Years of Practice (2009 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Wallace, DDS was a registered Dentist - General Practice practicing in Yerington, NV. Throughout an active medical career spanning 9 years, Dr. Wallace provided care at the practice location at 513 W BRIDGE ST until profile deactivation on 2018-07-13.

Practice Location & Contact Primary Location

Practice Address

513 W Bridge St
Suite A

Yerington, NV 894472661

Telephone 7754631800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Yerington, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Yerington, NV (1127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 6047

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Troy Aland , DDS

Dentist - General Practice

NPI 1164512877

Doctor of Dental Surgery

Dr. Nicholas Fredericka , DMD

Dentist - General Practice

NPI 1790904589

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated July 13, 2018

Record deactivated on July 13, 2018

NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 13, 2017

Registered at 4101 CAUGHLIN SQ STE 4, RENO, NV 895190957 (Tel: (775) 826-5353)

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Updated Business Mailing Address July 13, 2017

Registered at 4101 CAUGHLIN SQ STE 4, RENO, NV 895190957 (Tel: (775) 826-5353)

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Provider Name / Credentials Updated July 13, 2017

Recorded as KATHRYN WALLACE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Dentist (License #6047 in NV)

NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2015

Registered at 513 W BRIDGE ST, SUITE A, YERINGTON, NV 894472661 (Tel: 7754631800)

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Updated Business Mailing Address August 17, 2015

Registered at 4790 CAUGHLIN PKWY, #107, RENO, NV 895190907 (Tel: 7754631800)

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Provider Name / Credentials Updated August 17, 2015

Recorded as KATHRYN WALLACE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Dentist (License #6047 in NV)

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Initial NPI Registration & Enumeration July 13, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619106515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2009
Last Update: August 17, 2015
Deactivation Date: July 13, 2018

Mailing Address

4790 Caughlin Pkwy, #107

Reno, NV 895190907

Phone: 7754631800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.