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DR. JEFFREY ROBERT WALLACE D.D.S
NPI 1306006796
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since June 10, 2008
1365 CLIFTON RD NE, BUILDING B SUITE 2300, ATLANTA, GA 30322(404) 778-4500 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Robert Wallace D.d.s NPPES

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

DR. JEFFREY ROBERT WALLACE D.D.S (NPI 1306006796) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1306006796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JEFFREY ROBERT WALLACECredential: D.D.S
Location Address1365 CLIFTON RD NE, BUILDING B SUITE 2300Atlanta, GA 30322-1013
Mailing Address44 Peachtree Pl Nw, Unit 722Atlanta, GA 30309-5408 · (404) 840-4945
Phone(404) 778-4500
Sole ProprietorNo
Enumeration DateJune 10, 2008
✔ NPI 1306006796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1365 CLIFTON RD NE, Atlanta, GA 30322
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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.

CHHAYA J GANDHI PA-C
Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Dekalb County (404) 778-3914
ELIZABETH IKEDA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-8311
MS. NIVES KERAN PA-C
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-1900
DR. ALVIN R SOLOMON M.D.
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Dekalb County (404) 727-3669
LINDSAY C GRAMER PAAA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5000
SACHIN PARIKH MD
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Dekalb County (404) 778-1856
JULIE SCHNEIDER LEVY ACNP
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
GERARD M MCGORISK MD
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5299

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 Jeffrey Wallace's NPI number?

The NPI number for Jeffrey Wallace is 1306006796. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Jeffrey Wallace located?

Jeffrey Wallace practices at 1365 Clifton Rd NE Building B Suite 2300, Atlanta, GA 30322. The listed phone number is (404) 778-4500.

What is Jeffrey Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Wallace was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.