DR. Michael James Wallace, DDS is a general practice dentist in Green Bay, WI. The provider is 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. DR. Michael James Wallace, DDS NPI is 1124127279. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1195 W MASON ST
GREEN BAY, WI
ZIP 54303-045
Phone: (920) 498-3633
Fax: (920) 498-1099
The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/8/2007.