HEATH R WALLACE (NPI# 1811010069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811010069 |
| Entity Type | Individual |
| Full Name | HEATH R WALLACE |
| Practice Address |
13160 Main Street Weston OH 43569 |
| Practice Telephone | 4196692839 |
| Mailing Telephone | 4196692839 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30-022208 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558323725 | Heath Wade Wallace | Military Health Care Provider | Uss Theodore Roosevelt Cvn 71, Medical Department, Fpo, AE 09599 2871 | 2006-04-04 |
| Street Address |
13160 MAIN STREET |
| City | WESTON |
| State | OH |
| Zip Code | 43569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359166 | Village of Weston Ohio | Ambulance | 20761 Taylor St., Weston, OH 43569 | 2005-10-07 |
| 1457788119 | Renee Lynn Vollmar | Licensed Practical Nurse | 13590 Center St, Lot# 97, Weston, OH 43569-9511 | 2013-09-26 |
| 1164882601 | Micaiah Zsigray | Occupational Therapist | 17665 Sand Ridge Rd, Weston, OH 43569-9524 | 2016-02-25 |
| 1972896801 | Erin Myers | Licensed Practical Nurse | 20125 Taylor St, Apt 4, Weston, OH 43569-9543 | 2011-05-25 |
| 1508930355 | Jody A Franks | Counselor | 14356 Van Tassel Rd, Weston, OH 43569-9748 | 2006-11-20 |
| 1114423589 | Dylan Hefflinger | Specialist/Technologist | 15361 Potter Rd, Weston, OH 43569-9760 | 2018-04-03 |
| 1396248308 | Amber Heather Louise Schreiber | Registered Nurse | 16417 Van Tassel Rd, Weston, OH 43569-9775 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851142 | Daniela Angela Eynaudi | Occupational Therapist | 140 Lakeview Dr Apt 202, Weston, FL 33326-2518 | 2020-11-08 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1992306948 | Samantha Murphy | Technician | 210 Court Ave, Weston, WV 26452-2006 | 2020-11-05 |
| 1386245652 | Manuel Salvador Portillo | Nurse Practitioner | 4383 Foxtail Ln, Weston, FL 33331-3842 | 2020-11-04 |
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
| 1679172746 | Md Healthcare Dme LLC | Durable Medical Equipment & Medical Supplies | 1500 Weston Rd Ste 212, Weston, FL 33326-3265 | 2020-10-20 |
| 1548868029 | Lemnda Tangyie | Pharmacist | 3911 San Simeon Ln, Weston, FL 33331-5057 | 2020-10-15 |
| 1316545007 | Michael Adu-gyamfi | Pharmacist | 1612 Highland Ave, Weston, WI 54476-4836 | 2020-10-14 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| Find all providers in WESTON | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845401 | Rasoul Arbabi Kalati | Dentist | 853 Tanglewood Cir, Weston, FL 33327-1840 | 2019-08-09 |
| 1437711900 | Natalia Matute | Dentist | 1865 N Corporate Lakes Blvd Ste 2b, Weston, FL 33326-3273 | 2019-07-03 |
| 1285294561 | Justin Hosseini | Dentist | 1040 Weston Rd Ste 225, Weston, FL 33326-1912 | 2019-06-18 |
| 1477112076 | Gayane Avakyan | Dentist | 16674 Hemingway Dr, Weston, FL 33326-3101 | 2019-06-07 |
| 1871092791 | Anandi Pratap | Dentist | 17 Audubon Rd, Weston, MA 02493-1160 | 2018-02-06 |
| 1679095806 | Ben Paul Wasleske | Dentist | 7207 River Trail Dr, Weston, WI 54476-7710 | 2017-07-10 |
| 1023468766 | John Paul Aylmer | Dentist | 2239 N Commerce Pkwy Ste 1, Weston, FL 33326 | 2016-06-14 |
| 1073981700 | Jessica Lauren Mepham | Dentist | 3715 Weston Ave, Weston, WI 54476-5243 | 2015-09-11 |
| 1396111522 | Swetha Sajja | Dentist | 120 Lakeview Dr, Apt #202, Weston, FL 33326-2510 | 2015-08-11 |
| 1790161693 | Raynel Sarduy | Dentist | 193 Lakeview Dr Apt 202, Weston, FL 33326-2575 | 2015-08-03 |
| Find all providers in WESTON | ||||
Please comment or provide details below to improve the information on HEATH R 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.