DR. JANE SUEKO WALLACE DDS
NPI 1073500922
Dentist - General Practice in Jbsa Lackland, TX

Active since October 05, 2005
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236(210) 292-6225 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2019, Apr 30, 2018 (2 updates tracked since 2018).

About Dr. Jane Sueko Wallace Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JANE SUEKO WALLACE DDS (NPI 1073500922) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Missouri (015337) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1073500922
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JANE SUEKO WALLACECredential: DDS
Location Address1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHCJbsa Lackland, TX 78236-9908
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-6225
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
NPI 1073500922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 015337
Definition
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.
1100 WILFORD HALL LOOP, BLDG 4554, Jbsa Lackland, TX 78236

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Pathology)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Nurse Anesthetist, Certified Registered
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Psychologist (Health Service)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN CREDENTIALS (CMC)
JBSA-LACKLAND, TX 78236
Psychologist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Podiatrist (Foot & Ankle Surgery)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Physician Assistant (Medical)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP, BLDG 4554, 59MDW/SGHC
JBSA - LACKLAND, TX 78236
Speech-Language Pathologist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jane Wallace's NPI number?

The NPI number for Jane Wallace is 1073500922. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Jane Wallace located?

Jane Wallace practices at 1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/Sghc, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6225.

What is Jane Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jane Wallace was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.