Kevin Wallace, DMD PC

ActiveIndividual ProviderDentistry
NPI issued: August 21, 2008

Quick Facts

NPI Number
1972750909
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223P0700X — Dentistry
Phone
(417) 881-1123
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1972750909)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 21, 2008)
Data source: CMS NPPES

Provider Overview

KEVIN WALLACE, DMD PC is a Dentistry provider based in Springfield, MO who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1972750909
Provider TypeIndividual Provider
GenderMale
CredentialDMD PC
StatusActive
Enumeration DateAugust 21, 2008

Practice Location

CitySpringfield
StateMO
ZIP Code65804-3745
Phone(417) 881-1123

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223P0700X
License StateMO

Mailing Address

CitySpringfield
StateMO
ZIP Code65804-3745
Phone(417) 881-1123
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1972750909 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1972750909for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1972750909 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
4,366
Dentistry Providers in the US

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People Also Ask

What is Kevin Wallace's NPI number?
Kevin Wallace's NPI number is 1972750909, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kevin Wallace's NPI currently active?
Yes, Kevin Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Kevin Wallace specialize in?
Kevin Wallace specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223P0700X.
Where does Kevin Wallace practice?
Kevin Wallace practices in Springfield, MO 65804-3745.
When was Kevin Wallace's NPI issued?
Kevin Wallace's NPI was issued on August 21, 2008.
What is Kevin Wallace's provider type?
Kevin Wallace is registered as an Individual Provider under CMS NPI Type 1.