MICHAEL PATRICK WALLACE


Address: 9225 Manchester Rd, Suite 101, Saint Louis, MO 63144-2640
Phone: 3149680003

MICHAEL PATRICK WALLACE (NPI# 1679585038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679585038
Entity Type Individual
Full Name MICHAEL PATRICK WALLACE
Credential DMD
Practice Address 9225 Manchester Rd
Suite 101
Saint Louis
MO 63144-2640
Practice Telephone 3149680003
Practice Fax Number 3149680383
Mailing Telephone 3149680003
Mailing Fax Number 3149680383
Enumeration Date 2006-08-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 13992 MO Dental Providers

Other Providers MICHAEL WALLACE

NPI Name Taxonomy Address Enumeration
1417014424 Michael J Wallace Dentist 1600 E 19th St, Suite 301, Edmond, OK 73013-6622 2007-01-02
1518042696 Michael J. Wallace Dentist 1263 High St, Auburn, CA 95603-5016 2006-10-26
1124127279 Michael James Wallace Dentist 1195 W Mason St, Green Bay, WI 54303-2045 2006-09-22
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

Office Location

Street Address 9225 MANCHESTER RD
SUITE 101
City SAINT LOUIS
State MO
Zip Code 63144-2640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275770513 Michael P. Wallace D.m.d., PC Dentist 9225 Manchester Rd, Suite 101, Saint Louis, MO 63144-2640 2009-01-08
1578723292 Daniel Allan Dunbar Dentist 9225 Manchester Rd, Ste. 201, Saint Louis, MO 63144-2640 2008-06-16
1356401459 Keith Fletcher Anderson Dentist 9225 Manchester Rd, Suite 202, Saint Louis, MO 63144-2640 2006-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730681214 Patrick Kojima Pharmacist 1520 S. Brentwood Blvd, Saint Louis, MO 63144 2018-03-01
1104257385 Karen Misty Thornton Counselor 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 2013-12-12
1386804433 Lisa Marie Ross Social Worker 2025 S Brentwood, Suite 206, St Louis, MO 63144 2008-06-12
1568667665 St. Joseph Institute for The Deaf Speech-Language Pathologist 1314 Strassner, Brentwood, MO 63144 2007-06-19
1720292030 Albert A Barton Social Worker 2806 S Brentwood Blvdd, St Louis, MO 63144 2007-05-09
1083736243 Gary Jean Jameson Chiropractor 2901 S Brentwood Blvd, St Louis, MO 63144 2007-04-06
1649340662 Lindsay Michelle Ledbetter Physical Therapist 8228 Brentwood Industrial Drive, Brentwood, MO 63144 2006-11-08
1316041627 Jandhyala Satya Sagar Internal Medicine 1400 Strassner Rd, Brentwood, MO 63144 2006-09-08
1396855326 Jane E Loitman Internal Medicine 8044 Manchester Rd, Saint Louis, MO 63144 2006-08-31
1164532289 Jayne M Scanlan Physical Therapist 2937 South Brentwood Blvd, Brentwood, MO 63144 2006-08-30
Find all providers in zip 63144

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093326670 Amani Abdulateef Dentist 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 2020-08-16
1043828627 Tara Elizabeth Habibi Dentist 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 2020-07-20
1548817448 Lauren Elizabeth Kessinger Dentist 2821 N Ballas Rd Ste 160, Saint Louis, MO 63131-2376 2019-08-25
1275193229 Ryan Michael Mulligan Dentist 621 S New Ballas Rd Ste 10a, Saint Louis, MO 63141-8239 2019-06-20
1962993246 Todd J Wind Enterprises LLC Dentist 12818 Tesson Ferry Rd Ste 2o2, Saint Louis, MO 63128-2945 2018-05-23
1396274098 Darren Cartwright, Dds, P.C. Dentist 9960 Kennerly Rd Ste B, Saint Louis, MO 63128-3075 2017-06-06
1962936765 Alex Sharifian Dds Rock Hill Dentistry PC Dentist 9601 Manchester Rd, Saint Louis, MO 63119-1333 2017-04-18
1467983973 Westport Dental LLC Dentist 77 W Port Plz, Suite No. 251, Saint Louis, MO 63146-3107 2017-03-26
1427506781 Karim Allahdina Dentist 3331 Locust St, 301, Saint Louis, MO 63103-1154 2016-09-15
1508217480 Kevin Charles Kaiser Dentist 3890 S Lindbergh Blvd Ste 115, Saint Louis, MO 63127-1391 2016-06-22
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63144

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Dataset Information

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.

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