DR. ZACHARY D WALLACE (NPI# 1497287817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497287817 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY D WALLACE |
| Credential | DDS |
| Practice Address |
127 W Industrial Park Rd Harrison AR 72601 |
| Mailing Address |
7981 E Farm Road 186 Rogersville MO 65742-8493 |
| Practice Telephone | 8707412808 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Jackson, MS 392164500 | 6019841000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548580913 | Zachary S Wallace | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2010-06-08 |
| Street Address |
127 W INDUSTRIAL PARK RD |
| City | HARRISON |
| State | AR |
| Zip Code | 72601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942245998 | Stephen A. Beeler | Dentist | 127 W Industrial Park Rd, Harrison, AR 72601-2205 | 2006-06-16 |
| 1144706581 | Zachary D. Wallace, Dds, Pllc | Clinic/Center | 127 W Industrial Park Rd, Harrison, AR 72601-2205 | 2018-07-18 |
| 1225042286 | Stephen A. Beeler, D.d.s., P.a. | Dentist | 127 W Industrial Park Rd, Harrison, AR 72601-2205 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103580 | Abhinav Gupta | Student in an Organized Health Care Education/Training Program | 777 S 3rd St Apt 4110, Harrison, NJ 07029-2182 | 2019-06-19 |
| 1770142291 | Lauren Victoria Cue | Student in an Organized Health Care Education/Training Program | 300 Somerset St Apt 102, Harrison, NJ 07029-2341 | 2019-06-08 |
| 1568943793 | Muhammad Hussain | Student in an Organized Health Care Education/Training Program | 5 S 3rd St Apt 15, Harrison, NJ 07029-1747 | 2018-08-26 |
| 1497231773 | Amith Ahluwalia | Student in an Organized Health Care Education/Training Program | 300 Somerset St Apt 312, Harrison, NJ 07029-2345 | 2018-07-19 |
| 1770089575 | Devon O'brien | Student in an Organized Health Care Education/Training Program | 1200 Frank E Rodgers Blvd S Apt 2149, Harrison, NJ 07029-2454 | 2018-04-02 |
| 1952840746 | Shahram Shafi | Student in an Organized Health Care Education/Training Program | 330 Angelo Cifelli Dr, Apt. 216, Harrison, NJ 07029-2903 | 2017-02-14 |
| 1548643232 | Lindsey Potzick | Student in an Organized Health Care Education/Training Program | 10648 New Haven Rd, Harrison, OH 45030-2774 | 2015-06-30 |
| 1801306063 | Melissa Sohigian | Student in an Organized Health Care Education/Training Program | 275 North St, Harrison, NY 10528-1140 | 2017-10-02 |
| 1700201886 | Siew Li Ng | Student in an Organized Health Care Education/Training Program | 789 N Clare Ave, Harrison, MI 48625-9194 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1407470263 | Cara Shelby | Student in an Organized Health Care Education/Training Program | 2505 Rannoch Ln, Fort Smith, AR 72908-0960 | 2020-06-07 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1952922676 | Rachel Brehm | Student in an Organized Health Care Education/Training Program | 19048 Woodridge Rd, Garfield, AR 72732-9780 | 2020-05-04 |
| 1396366381 | Tyrel Larsen | Student in an Organized Health Care Education/Training Program | 15731 Coose Hollow Dr, Rogers, AR 72756-8966 | 2020-04-30 |
| 1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1629697982 | Avril Alison Parker | Student in an Organized Health Care Education/Training Program | 1301 S Madison St, Jonesboro, AR 72401-4047 | 2020-04-15 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ZACHARY D WALLACE.
| 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.