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DR. JOHN DAVID WALLACE DDS, MD
NPI 1811978349
Dentist - Oral and Maxillofacial Surgery in Dallas, TX

Active since November 10, 2005PECOS Enrolled
8315 WALNUT HILL LN STE 120, DALLAS, TX 75231(214) 363-9946(214) 389-1953 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John David Wallace Dds, Md NPPES

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

DR. JOHN DAVID WALLACE DDS, MD (NPI 1811978349) is an individual oral and maxillofacial surgery provider in Dallas, Texas, licensed in Texas (19862) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811978349
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN DAVID WALLACECredential: DDS, MD
Location Address8315 WALNUT HILL LN STE 120Dallas, TX 75231-4218
Mailing Address8315 Walnut Hill Ln Ste 120Dallas, TX 75231-4218 · (214) 363-9946 · Fax (214) 389-1953
Phone(214) 363-9946
Fax(214) 389-1953
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJune 16, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1811978349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 19862
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
8315 WALNUT HILL LN STE 120, Dallas, TX 75231
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Other Identifiers 1

Medicaid1750242-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John David Wallace Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JOHN WILLIAM GANNON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
8315 WALNUT HILL LN STE 120
DALLAS, TX 75231
Dallas County (214) 363-9946
JOHN D. WALLACE, DDS, MD, PA
Dentist (Oral and Maxillofacial Surgery)
8315 WALNUT HILL LN STE 120
DALLAS, TX 75231
Dallas County (214) 363-9946

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 John Wallace's NPI number?

The NPI number for John Wallace is 1811978349. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is John Wallace located?

John Wallace practices at 8315 Walnut Hill Ln Ste 120, Dallas, TX 75231. The listed phone number is (214) 363-9946.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Wallace enrolled in Medicare?

Yes. John Wallace is registered in the Medicare PECOS enrollment system.

What insurance does John Wallace accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and HRI Dental & Vision and 2 other insurers list John Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.