1. Home
  2. Directory
  3. Tennessee
  4. Seymour
  5. Dentist
  6. NPI Profile

R JEFFREY WALLACE DDS PLLC
NPI 1538201454
Dentist - General Practice in Seymour, TN

Active since February 14, 2007
111 PEACOCK COURT, SEYMOUR, TN 37865(865) 577-0194(865) 577-0174 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About R Jeffrey Wallace Dds Pllc NPPES

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

R JEFFREY WALLACE DDS PLLC (NPI 1538201454) is a healthcare organization registered as a general practice in Seymour, Tennessee and active in the NPI registry since February 2007. The organization lists R Jeffrey Wallace, Owner President, as its authorized official.

NPPES Registry Identity

NPI1538201454
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameR JEFFREY WALLACE DDS PLLC
Location Address111 PEACOCK COURTSeymour, TN 37865
Mailing Address111 Peacock CourtSeymour, TN 37865 · (865) 577-0194 · Fax (865) 577-0174
Phone(865) 577-0194
Fax(865) 577-0174
Organization SubpartNo
Authorized OfficialR Jeffrey WallaceOwner President · (865) 577-0194
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538201454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

111 PEACOCK COURT, Seymour, TN 37865
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

GEALON A THOMAS DDS PLLC
Dentist (General Practice)
111 PEACOCK COURT
SEYMOUR, TN 37865
Sevier County (865) 573-0274
SEYMOUR FAMILY DENTISTRY
Dentist (General Practice)
111 PEACOCK COURT
SEYMOUR, TN 37865
Sevier County (865) 577-0194
MR. SAMUEL LEE THOMAS DDS
Dentist (Dental Public Health)
111 PEACOCK COURT
SEYMOUR, TN 37865
Sevier County (865) 573-0274

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 R Jeffrey Wallace Dds PLLC's NPI number?

The NPI number for R Jeffrey Wallace Dds PLLC is 1538201454. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is R Jeffrey Wallace Dds PLLC located?

R Jeffrey Wallace Dds PLLC is located at 111 Peacock Court, Seymour, TN 37865. The listed phone number is (865) 577-0194.

What is R Jeffrey Wallace Dds PLLC'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 R Jeffrey Wallace Dds PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.