DR. SARAH ADE WALLACE DMD NPI 1164733762

NPI Information

DR. Sarah Ade Wallace, DMD is an oral and maxillofacial surgery dentist in Moline, IL. 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. Sarah Ade Wallace, DMD NPI is 1164733762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7017 JOHN DEERE PARKWAY - SUITE 2B
MOLINE, IL
ZIP 61265
Phone: (309) 792-0513
Fax: (309) 792-0534

The enumeration date for this NPI number is 6/29/2010 and was last updated on 12/4/2020.

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:

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