Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073500922 Individual Practitioner Female Practitioner

Dr. Jane Sueko Wallace , DDS

Dentist - General Practice • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jane Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jbsa Lackland, TX. Practice services are available at 1100 WILFORD HALL LOOP, BLDG 4554 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop, Bldg 4554
Attn: 59 Mdw/sghc

Jbsa Lackland, TX 782369908

Telephone 2102926225

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Jbsa Lackland, TX (10570 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 MO 015337

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

40 Associated Practitioners
Dr. David Wells , DDS, MS

Dentist - Oral and Maxillofacial Pathology

NPI 1013933522

Doctor of Dental Surgery, Master of Science

NPI 1043380116

Doctor of Philosophy (Ph.D.)

NPI 1043478183

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Monroe , MD

Family Medicine

NPI 1063482420

Doctor of Medicine (M.D.)

Dr. Kevin Fluckiger , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1083117584

Doctor of Podiatric Medicine

Dr. Christopher Atkinson , MD

Radiology - Diagnostic Radiology

NPI 1093013260

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 30, 2018

Registered at 1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 782369908 (Tel: 2102926225)

📍
Updated Business Mailing Address April 30, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102926225)

NPI Profile Active February 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2008

Registered at 606 FISHER ST, 81ST DS/SGD, KEESLER AFB, MS 395342513 (Tel: 2283760511)

📍
Updated Business Mailing Address February 25, 2008

Registered at 606 FISHER ST, 81ST DS/SGD, KEESLER AFB, MS 395342513 (Tel: 2283760511)

👤
Provider Name / Credentials Updated February 25, 2008

Recorded as JANE WALLACE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2008

Dentist (License #015337 in MO)

🟢
Initial NPI Registration & Enumeration October 05, 2005

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: 1073500922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: July 31, 2019
Sole Proprietor: No

Mailing Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone: 2102926225

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.