PHILLIP W WALLACE DDS INC
NPI 1699140202
Dentist - General Practice in Willoughby, OH

Q: What is Phillip W Wallace Dds Inc's NPI number?

The NPI number for Phillip W Wallace Dds Inc is 1699140202. It was assigned to this organization in the NPPES registry on December 8, 2015.

Q: What is Phillip W Wallace Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 08, 2015

36001 EUCLID AVE, SUITE A-15, WILLOUGHBY, OH 44094(440) 946-5485(440) 946-5810 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip W Wallace Dds Inc NPPES

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

PHILLIP W WALLACE DDS INC (NPI 1699140202) is a healthcare organization registered as a general practice in Willoughby, Ohio and active in the NPI registry since December 2015. The organization lists Phillip W Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1699140202

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePHILLIP W WALLACE DDS INC

Location Address36001 EUCLID AVE, SUITE A-15Willoughby, OH 44094-4643

Mailing Address36001 Euclid Ave, Suite A-15Willoughby, OH 44094-4643 · (440) 946-5485 · Fax (440) 946-5810

Phone(440) 946-5485

Fax(440) 946-5810

Organization SubpartNo

Authorized OfficialPhillip W WallaceOwner · (440) 946-5484

Enumeration DateDecember 8, 2015

✔ NPI 1699140202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 30.016266

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.

36001 EUCLID AVE, Willoughby, OH 44094

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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 18

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

DR. MING HUEI PHILLIP CHIANG M.D.

Family Medicine

36001 EUCLID AVE, B4
WILLOUGHBY, OH 44094

Lake County (440) 946-5151

LISA KUHEN NP

Nurse Practitioner (Adult Health)

36001 EUCLID AVE, SUITE C6
WILLOUGHBY, OH 44094

Lake County (440) 946-0053

DR. DARLYNE FRAZEE D.D.S.

Dentist (General Practice)

36001 EUCLID AVE, #A-3
WILLOUGHBY, OH 44094

Lake County (440) 946-6373

LAKE HOSPITAL SYSTEM, INC.

Surgery (Vascular Surgery)

36001 EUCLID AVE, B-3
WILLOUGHBY, OH 44094

Lake County (440) 953-1898

RUSSELL ALLEN BLAIR MD

Internal Medicine (Pulmonary Disease)

36001 EUCLID AVE, C19
WILLOUGHBY, OH 44094

Lake County (440) 946-0053

DIANE M. CORNICELLI, M.D. INC,

Internal Medicine

36001 EUCLID AVE, SUITE C-19
WILLOUGHBY, OH 44094

Lake County (216) 374-9664

JENNIFER L KRIESSLER NP

Nurse Practitioner (Adult Health)

36001 EUCLID AVE, C6
WILLOUGHBY, OH 44094

Lake County (440) 946-0053

ENLIGHTENED HEALTH MANAGEMENT LLC

Pain Medicine (Pain Medicine)

36001 EUCLID AVE
WILLOUGHBY, OH 44094

Lake County (440) 212-6205

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 Phillip W Wallace Dds Inc's NPI number?

The NPI number for Phillip W Wallace Dds Inc is 1699140202. It was assigned to this organization in the NPPES registry on December 8, 2015.

Where is Phillip W Wallace Dds Inc located?

Phillip W Wallace Dds Inc is located at 36001 Euclid Ave Suite A-15, Willoughby, OH 44094. The listed phone number is (440) 946-5485.

What is Phillip W Wallace Dds Inc'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 Phillip W Wallace Dds Inc was last updated on December 8, 2015. 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.