DR. Patrick L Wallace, D.D.S. is an oral and maxillofacial surgery dentist in Ardmore, OK. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Patrick L Wallace, D.D.S. NPI is 1508857053. 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:
1119 WALNUT DR
SUITE 2
ARDMORE, OK
ZIP 73401-360
Phone: (580) 226-1727
Fax: (580) 226-9413
The NPI 1508857053 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 11/3/2005 and was last updated on 1/13/2014.