Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902485725 Individual Practitioner Male Practitioner

Dr. Jacob Robert Wallock , DDS

Dentist - General Practice • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Wallock, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fond Du Lac, WI. Practice services are available at 145 S MARR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

145 S Marr St

Fond Du Lac, WI 549354408

Telephone 9209229000
Associated Practice Facility / Clinic
🏢 Maury Family Dental Llc Facility NPI 1174992937

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Fond Du Lac, WI (2459 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

CMS Verified: 2021-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1002568-15

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. Lauren Seitz , DMD

Student in an Organized Health Care Education/Training Program

NPI 1174363287

Doctor of Dental Medicine

NPI 1598818494

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 17, 2021

Registered at 145 S MARR ST, FOND DU LAC, WI 549354408 (Tel: 9209229000)

👤
Provider Name / Credentials Updated June 17, 2021

Recorded as JACOB WALLOCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Dentist (License #1002568-15 in WI)

NPI Profile Active April 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2021

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4143229456)

📍
Updated Business Mailing Address April 07, 2021

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4143229456)

👤
Provider Name / Credentials Updated April 07, 2021

Recorded as JACOB WALLOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2021

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. Jacob Wallock. Be the first to share your experience!

Sign in to leave a review for Dr. Jacob Wallock

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

NPI Administrative Meta

NPI Number: 1902485725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2021
Last Update: June 17, 2021
Sole Proprietor: No

Mailing Address

1801 W Wisconsin Ave

Milwaukee, WI 532332186

Phone: 4143229456

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.