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JAMES C. WALLACE DDS NPI 1366808362


NPI Information

NPI: 1366808362
Provider Name: JAMES C. WALLACE DDS

Doing Business As: GRASS VALLEY DENTISTRY

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
122 BANK ST
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-4814
Get Directions

JAMES C. WALLACE DDS is a preferred provider organization in Grass Valley, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. JAMES C. WALLACE DDS NPI is 1366808362. The provider is registered as an organization entity type.
The provider Is Doing Business As Grass Valley Dentistry.

The provider's business location address is:

122 BANK ST
GRASS VALLEY, CA
ZIP 95945-520
Phone: (530) 273-4814

The provider's authorized official is James C. Wallace .
The authorized official title is Owner and has the following contact phone number (530) 273-4814.

The enumeration date for this NPI number is 1/6/2016 and was last updated on 1/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization32514CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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