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WALLACE SIGMON MCLAURIN NPI 1467846824


NPI Information

NPI: 1467846824
Provider Name: WALLACE SIGMON MCLAURIN
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Organization: UNIVERSITY SURGICAL-DENTAL ASSOCIATES LLC

PECOS Registration: Yes

Address:
222 PIEDMONT AVE
CINCINNATI, OH
ZIP 45219
Phone: (513) 475-8783
Get Directions

Wallace Sigmon Mclaurin is an oral maxillofacial surgery in Cincinnati, OH with 9 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Wallace Sigmon Mclaurin NPI is 1467846824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI MEDICAL CENTER SCHOOL OF DENTISTRY
Graduation Year:2015

The provider's business location address is:

222 PIEDMONT AVE
CINCINNATI, OH
ZIP 45219
Phone: (513) 475-8783
Fax: (513) 475-7698

The NPI 1467846824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/24/2015 and was last updated on 7/16/2019.


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
1204E00000XOral & Maxillofacial Surgery30.025891OHIOYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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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