DR. ROY T. WALLACE (NPI# 1437291200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437291200 |
| Entity Type | Individual |
| Full Name | DR. ROY T. WALLACE |
| Credential | D.D.S. |
| Practice Address |
655 Boston Rd Ste 3a Billerica MA 01821-5338 |
| Practice Telephone | 9786670691 |
| Mailing Telephone | 9786670691 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13403 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134191885 | Roy Erickson Wallace | Physician Assistant | 1 Jarrett White Rd, Tamc, Personnel Division, Tamc, HI 96859-5001 | 2006-02-06 |
| 1417946203 | Roy Trent Wallace | Ophthalmology | 345 23rd Ave N, Suite 350, Nashville, TN 37203-1596 | 2005-10-14 |
| Street Address |
655 BOSTON RD STE 3A |
| City | BILLERICA |
| State | MA |
| Zip Code | 01821-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828490 | Bh Brightview Concord River Opco, LLC | Alzheimer Center (Dementia Center) | 199 Concord River, Billerica, MA 01821 | 2019-12-12 |
| 1225503857 | Lori Ann Silva | Nurse Practitioner | 5 River Street, Billerica, MA 01821 | 2018-10-10 |
| 1255819090 | Kacie Dawn Melo | Counselor | Billerica Memorial High School 35 River St, Billerica, MA 01821 | 2018-08-03 |
| 1750889937 | Cassidy Erin Lapointe | Behavior Technician | 120 Pollard St, Billerica, MA 01821 | 2018-01-23 |
| 1679025993 | Shp Iv Concord River LLC | Alzheimer Center (Dementia Center) | 199 Concord Road, Billerica, MA 01821 | 2016-11-03 |
| 1790110393 | Michele Lee Krasinski | Registered Nurse | 100 Partridge Road, Billerica, MA 01821 | 2013-09-13 |
| 1538591573 | Riverside Community Care | Community/Behavioral Health | 5 Riverhurst Road Apartment 516, Billerica, MA 01821 | 2013-08-01 |
| 1780029900 | Stephen D Fell | Hearing Instrument Specialist | 26 Mount Vernon Avenue, Billerica, MA 01821 | 2013-05-01 |
| 1578822268 | Akhtar Khan | Dentist | 8 Tower Farm Rd., Billerica, MA 01821 | 2012-05-15 |
| 1942584578 | Mary Louise Kellerman | Dental Hygienist | 38 Pratt St., Billerica, MA 01821 | 2011-09-30 |
| Find all providers in zip 01821 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126819 | Jayalakshmi Donadula | Dentist | 5 Karen Cir Apt 16, Billerica, MA 01821-4722 | 2018-12-25 |
| 1487148862 | Bsc Dental, LLC | Dentist | 700 Boston Rd Ste 16a, Billerica, MA 01821-5316 | 2018-06-19 |
| 1265558787 | Paul R Cedrone | Dentist | 474 Boston Rd, Billerica, MA 01821-2702 | 2007-03-22 |
| 1194858647 | Jim Meletlidis | Dentist | 480 Boston Rd, Billerica, MA 01821-2709 | 2007-03-13 |
| 1043342371 | Robert L Frankel | Dentist | 668 Boston Rd, Billerica, MA 01821-5323 | 2007-03-12 |
| 1467557496 | Dr. A. G. Khan Dmd PC | Dentist | 8 Tower Farm Rd, Billerica, MA 01821-2861 | 2006-09-14 |
| 1467463075 | Barry Howard Danzig | Dentist | 662 Boston Rd, Billerica, MA 01821-5318 | 2006-08-10 |
| 1245232396 | Kunio Kwok-hung Chan | Dentist | 655 Boston Rd, Unit 3a, Billerica, MA 01821-5338 | 2005-06-01 |
| 1972098374 | Craig Hornung | Dentist | 8 Tower Farm Rd, Billerica, MA 01821-2861 | 2018-06-27 |
| 1144760265 | Dr. Dental of Billerica PC | Dentist | 480 Boston Rd, Billerica, MA 01821-2709 | 2017-03-08 |
| Find all providers in BILLERICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.