DR. Dedra Desiree Wallace DDS

  • NPI 1518057934
According to our database, the NPI number for DR. Dedra Desiree Wallace DDS is 1518057934 and activated since 17 years ago. DR. Dedra Desiree Wallace DDS is an individual provider who specializes in Pediatric Dentistry, and the primary practice location is 12711 Fm 1960 Rd W, Houston, TX 77065. You can also contact DR. Dedra Desiree Wallace DDS via telephone number is (713) 490-8880. Provider NPI information was last updated on 04/18/2012.

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Overview of DR. Dedra Desiree Wallace DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/14/2006
  • Last updated: 04/18/2012

Primary Scrop of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 24891
  • License State: TX

Provider Mailing Address

  • Address: 2536 Amherst St
    Houston, TX 77005
  • Phone: 713-490-8880
  • Fax: 713-490-6464

Provider Practice Location

  • Address: 12711 Fm 1960 Rd W
    Houston, TX 77065
  • Phone: 713-490-8880
  • Fax: 713-490-6464

Scope of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 24891
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 203532103
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: TMHP

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Dedra Desiree Wallace DDS?
  • A: The npi number for DR. Dedra Desiree Wallace DDS is 1518057934.
  • Q: What are DR. Dedra Desiree Wallace DDS's specialties?
  • A: DR. Dedra Desiree Wallace DDS's specialties are Pediatric Dentistry and different specialities.
  • Q: What is the medical license for DR. Dedra Desiree Wallace DDS?
  • A: The medical license number for DR. Dedra Desiree Wallace DDS is 24891 and issued in TX in USA.
  • Q: Where is DR. Dedra Desiree Wallace DDS practice location?
  • A: DR. Dedra Desiree Wallace DDS is practicing at 12711 Fm 1960 Rd W, Houston, TX 77065.
  • Q: How to contact DR. Dedra Desiree Wallace DDS?
  • A: You can contact DR. Dedra Desiree Wallace DDS via 713-490-8880.