NANCY S. WALLACE D.M.D. LTD. NPI 1548214034

NPI Information

  • NPI: 1548214034
  • Provider Name: NANCY S. WALLACE, D.M.D., LTD.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1709 WASHINGTON ST
    WAUKEGAN, IL
    ZIP 60085
  • Phone: (847) 662-6080

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NPI Details

NANCY S. WALLACE, D.M.D., LTD. is a general practice dentist in Waukegan, IL. 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. NANCY S. WALLACE, D.M.D., LTD. NPI is 1548214034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1709 WASHINGTON ST
WAUKEGAN, IL
ZIP 60085-133
Phone: (847) 662-6080
Fax: (847) 662-6086

The provider's authorized official is Nancy Smith Wallace .
The authorized official title is President and has the following contact phone number (847) 662-6080.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/22/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeILLINOISYes

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: 3/30/2025

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