Dr. John Richard Wallace , DDS
Dentist - General Practice • Plano, TX
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. John Wallace has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Wallace, DDS was a registered Dentist - General Practice practicing in Plano, TX. Throughout an active medical career spanning 12 years, Dr. Wallace provided care at the practice location at 4909 WEST PARK BLVD until profile deactivation on 2019-03-14.
Practice Location & Contact Primary Location
4909 West Park Blvd
#117
Plano, TX 750932311
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Plano, TX
Practicing in Plano, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
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Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
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Record deactivated on March 14, 2019
NPI status registered as active in NPPES database
Registered at 4909 WEST PARK BLVD, #117, PLANO, TX 750932311 (Tel: 9725191990)
Registered at 4909 WEST PARK BLVD, #117, PLANO, TX 750932311 (Tel: 9725191990)
Recorded as JOHN WALLACE, DDS
Dentist (License #8235 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4909 West Park Blvd, #117
Plano, TX 750932311
Phone: 9725191990
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.