Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912070335 Individual Practitioner Male Practitioner

Dr. Chad Duane Wallace , DDS

Dentist - General Practice • Rome, NY

Professional Overview & Biography Verified Profile Summary

Dr. Chad Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rome, NY. Practice services are available at 63 GEIGER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63 Geiger Rd

Rome, NY 134414324

Telephone 3153392120
Fax 3153392120

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rome, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Rome, NY (8411 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 NY 051249

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02620184 (NY)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1437328713

Doctor of Dental Surgery

NPI 1861706145

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 63 GEIGER RD, ROME, NY 134414324 (Tel: 3153392120)

📍
Updated Business Mailing Address July 08, 2007

Registered at 63 GEIGER RD, ROME, NY 134414324 (Tel: 3153392120)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHAD WALLACE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #051249 in NY)

🟢
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Chad Wallace. Be the first to share your experience!

Sign in to leave a review for Dr. Chad Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1912070335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

63 Geiger Rd

Rome, NY 134414324

Phone: 3153392120

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.