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KIM EUGENE WALLACE D.D.S.
NPI 1689681041
Dentist - General Practice in Davis, CA

Active since August 01, 2006
635 ANDERSON RD, SUITE 17, DAVIS, CA 95616(530) 757-6453(530) 757-6450 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Eugene Wallace D.d.s. NPPES

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

KIM EUGENE WALLACE D.D.S. (NPI 1689681041) is an individual general practice provider in Davis, California, licensed in California (22932) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1689681041
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKIM EUGENE WALLACECredential: D.D.S.
Location Address635 ANDERSON RD, SUITE 17Davis, CA 95616-3505
Mailing Address635 Anderson Rd, Suite 17Davis, CA 95616-3505 · (530) 757-6453 · Fax (530) 757-6450
Phone(530) 757-6453
Fax(530) 757-6450
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 11, 2016
✔ NPI 1689681041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 22932
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.
635 ANDERSON RD, Davis, CA 95616
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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.

RONALD D COTTEREL MD
Family Medicine
635 ANDERSON RD, SUITE 12
DAVIS, CA 95616
Yolo County (530) 758-1122
CRYSTAL BLANKENSHIP M.D.
Family Medicine
635 ANDERSON RD, SUITE 10
DAVIS, CA 95616
Yolo County (530) 758-1122
SPECIALIZED ORTHOPEDIC SURGEONS
Specialist
635 ANDERSON RD
DAVIS, CA 95616
Yolo County (530) 771-4000
DR. BENTON JAMES RUNQUIST D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
635 ANDERSON RD, SUITE #6
DAVIS, CA 95616
Yolo County (530) 756-0220
MICHAEL P GOODMAN M.D.
Specialist
635 ANDERSON RD, SUITE 12B
DAVIS, CA 95616
Yolo County (530) 753-2787
HANGER PROSTHETICS & ORTHOTICS WEST, INC.
Prosthetic/Orthotic Supplier
635 ANDERSON RD, SUITE 18
DAVIS, CA 95616
Yolo County (530) 204-5123
DR. TYLER POLAND D.C.
Chiropractor
635 ANDERSON RD, STE 14
DAVIS, CA 95616
Yolo County (530) 400-8390
JEFFRY METHENY M.D.
Specialist
635 ANDERSON RD, #18
DAVIS, CA 95616
Yolo County (530) 771-4000

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 Kim Wallace's NPI number?

The NPI number for Kim Wallace is 1689681041. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Kim Wallace located?

Kim Wallace practices at 635 Anderson Rd Suite 17, Davis, CA 95616. The listed phone number is (530) 757-6453.

What is Kim 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 Kim Wallace was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.