DR. RYAN CHRISTOPHER WALLACE D.D.S.
NPI 1477875458
Dentist - Prosthodontics in Los Angeles, CA
- Individual
- Male
- Dentist
- Prosthodontics
About RYAN WALLACE
This page provides the complete NPI Profile along with additional information for Ryan Wallace, a provider established in Los Angeles, California with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1477875458 assigned on February 2010. The practitioner's primary taxonomy code is 1223P0700X with license number 57224 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1477875458 Verify this NPI
- Provider Name
- DR. RYAN CHRISTOPHER WALLACE D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12300 WILSHIRE BLVD STE 400 LOS ANGELES, CA 90025
- Location Phone
- (310) 597-0715
- Location Fax
- (310) 458-8804
- Mailing Address
- 12300 WILSHIRE BLVD STE 400 LOS ANGELES, CA 90025
- Mailing Phone
- (310) 393-8317
- Mailing Fax
- (310) 458-8804
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-18-2010
- Last Update Date
- 06-12-2025
- Code Navigator
A dentist like Ryan Wallace is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Prosthodontics
- Taxonomy Code
- 1223P0700X
- Type
- Dental Providers
- License No.
- 57224
- License State
- CA
- Taxonomy Description
- That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477875458, enumerated as an "individual" on February 18, 2010.
The provider is located at 12300 WILSHIRE BLVD STE 400 LOS ANGELES, CA 90025 and the phone number is (310) 597-0715.
Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.
