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DR. DOUGLAS W. WALLACE D.D.S., M.S.
NPI 1376698753
Oral & Maxillofacial Surgery in Fairfield, OH

Active since January 24, 2007
5188 WINTON RD, FAIRFIELD, OH 45014(513) 829-8080(513) 858-4290 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas W. Wallace D.d.s., M.s. NPPES

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

DR. DOUGLAS W. WALLACE D.D.S., M.S. (NPI 1376698753) is an individual oral & maxillofacial surgery provider in Fairfield, Ohio, licensed in Ohio (30-01-6806) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376698753
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. DOUGLAS W. WALLACECredential: D.D.S., M.S.
Location Address5188 WINTON RDFairfield, OH 45014-2900
Mailing Address5188 Winton RdFairfield, OH 45014-2900 · (513) 829-8080 · Fax (513) 858-4290
Phone(513) 829-8080
Fax(513) 858-4290
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 1, 2008
✔ NPI 1376698753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OH · 30-01-6806
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
5188 WINTON RD, Fairfield, OH 45014
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Other Identifiers 2

Medicare UPINT48271OH
Medicare PIN0574332OH

Other Providers at the Same Location NPPES 4

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

DR. TIMOTHY WAYNE CONLEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
5188 WINTON RD
FAIRFIELD, OH 45014
Butler County (513) 829-8080
AFFILLIATES IN ORAL &MAXILLOFACIAL SURGERY INC
Oral & Maxillofacial Surgery
5188 WINTON RD
FAIRFIELD, OH 45014
Butler County (513) 829-8080
DR. CHRISTOPHER A MCDANIEL DMD
Dentist (Oral and Maxillofacial Surgery)
5188 WINTON RD
FAIRFIELD, OH 45014
Butler County (513) 859-8080
MIA SCHMIDT DDS
Dentist (Oral and Maxillofacial Surgery)
5188 WINTON RD
FAIRFIELD, OH 45014
Butler County (513) 829-8080

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 Douglas Wallace's NPI number?

The NPI number for Douglas Wallace is 1376698753. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Douglas Wallace located?

Douglas Wallace practices at 5188 Winton Rd, Fairfield, OH 45014. The listed phone number is (513) 829-8080.

What is Douglas Wallace's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Douglas Wallace was last updated on April 1, 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.