MICHAEL J. WALLACE (NPI# 1518042696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518042696 |
| Entity Type | Individual |
| Full Name | MICHAEL J. WALLACE |
| Credential | DDS |
| Practice Address |
1263 High St Auburn CA 95603-5016 |
| Practice Telephone | 5308881825 |
| Practice Fax Number | 5308881842 |
| Mailing Telephone | 5308881825 |
| Mailing Fax Number | 5308881842 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40758 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417014424 | Michael J Wallace | Dentist | 1600 E 19th St, Suite 301, Edmond, OK 73013-6622 | 2007-01-02 |
| 1124127279 | Michael James Wallace | Dentist | 1195 W Mason St, Green Bay, WI 54303-2045 | 2006-09-22 |
| 1679585038 | Michael Patrick Wallace | Dentist | 9225 Manchester Rd, Suite 101, Saint Louis, MO 63144-2640 | 2006-08-13 |
| 1467438937 | Michael Lloyd Wallace | Pathology | 522 Alpha Dr, Pittsburgh, PA 15238-2912 | 2005-12-16 |
| 1609356864 | Michael Wallace | Physical Therapy Assistant | 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 | 2018-08-17 |
| 1225579899 | Michael Wallace | Counselor | 500 Allerton St, Second Floor, Redwood City, CA 94063-1519 | 2017-03-16 |
| 1376922948 | Michael Taylor Wallace | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2015-05-28 |
| 1194029777 | Michael T Wallace | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2010-12-22 |
| 1003116658 | Michael Eugene Wallace | Psychologist | 201 E Liberty St, Suite 2, Ann Arbor, MI 48104-2118 | 2010-10-29 |
| 1003057852 | Michael Alan Wallace | Nurse Practitioner | 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113-1761 | 2009-03-07 |
| Street Address |
1263 HIGH ST |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275879827 | Christina Maria Cox | Dental Hygienist | 1263 High St, Auburn, CA 95603-5016 | 2012-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| 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 |
|---|---|---|---|---|
| 1568026284 | Yi He | Dentist | 1404 Lake Tapps Pkwy Se Ste A103, Auburn, WA 98092-8156 | 2019-04-29 |
| 1841660537 | Auburn Dental Clinic, P. A. | Dentist | 140 A East 9th Street, 140 A, Auburn, KS 66402-0147 | 2015-10-07 |
| 1841672532 | Auburn Dental Group P.C. | Dentist | 492 Washington St, Auburn, MA 01501-5708 | 2015-06-18 |
| 1326425638 | Alayna Ruth Mender | Dentist | 7 Raymond Road, Auburn, NH 03032 | 2015-05-06 |
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| 1811319205 | Shaun S. Lee D.d.s | Dentist | 1320 8th St Ne Ste 103, Auburn, WA 98002-4589 | 2014-01-20 |
| 1922448778 | Gilsun Yu Dds Pllc | Dentist | 4017 A St Se Ste 104, Auburn, WA 98002-8607 | 2013-06-26 |
| 1861774374 | Deedra A Truschinger | Dentist | 930 N Washington, Auburn, KS 66402 | 2011-09-12 |
| 1275814436 | Ryan Anardi | Dentist | 1320 8th St Ne Ste 101, Auburn, WA 98002-4589 | 2011-09-01 |
| Find all providers in AUBURN | ||||
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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.