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Active NPI 1346698842 Individual Practitioner Male Practitioner

Dr. Jason Wallace , DDS

Dentist - General Practice • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Jason Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in Edmond, OK. Practice services are available at 1400 W COVELL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 W Covell Rd

Edmond, OK 730033504

Telephone 4053486161
Associated Practice Facility / Clinic
🏢 Damon R. Johnson, Dds, Pc Facility NPI 1538308259

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
71 Specialists

Practicing in Edmond, OK (1496 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 OK 6806

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

3 Associated Practitioners
Dr. Kevin Harland , DDS

Dentist - General Practice

NPI 1063196681

Doctor of Dental Surgery

Dr. Eric Parsons , DDS

Dentist - General Practice

NPI 1073170916

Doctor of Dental Surgery

Dr. Damon Johnson , DDS

Dentist - General Practice

NPI 1235264086

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 May 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2016

Registered at 1400 W COVELL RD, EDMOND, OK 730033504 (Tel: 4053486161)

📍
Updated Business Mailing Address May 25, 2016

Registered at 1400 W COVELL RD, EDMOND, OK 730033504

👤
Provider Name / Credentials Updated May 25, 2016

Recorded as JASON WALLACE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Dentist (License #6806 in OK)

🟢
Initial NPI Registration & Enumeration May 25, 2016

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: 1346698842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2016
Last Update: May 25, 2016
Sole Proprietor: Yes

Mailing Address

1400 W Covell Rd

Edmond, OK 730033504

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.