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KEVIN D WALLACE DMD, PC
NPI 1841404019
Dentist - Prosthodontics in Springfield, MO

Active since May 09, 2007
1200 E WOODHURST DR, SUITE 200-A, SPRINGFIELD, MO 65804(417) 881-1123(417) 883-0812 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin D Wallace Dmd, Pc NPPES

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

KEVIN D WALLACE DMD, PC (NPI 1841404019) is a healthcare organization registered as a prosthodontics in Springfield, Missouri and active in the NPI registry since May 2007. The organization lists Kevin D Wallace, Dentist, as its authorized official.

NPPES Registry Identity

NPI1841404019
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameKEVIN D WALLACE DMD, PC
Location Address1200 E WOODHURST DR, SUITE 200-ASpringfield, MO 65804-4257
Mailing Address1200 E Woodhurst Dr, Suite 200-aSpringfield, MO 65804-4257 · (417) 881-1123 · Fax (417) 883-0812
Phone(417) 881-1123
Fax(417) 883-0812
Organization SubpartNo
Authorized OfficialKevin D WallaceDentist · (417) 881-1123
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 21, 2008
✔ NPI 1841404019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in MO · 014935
Definition
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.
1200 E WOODHURST DR, Springfield, MO 65804
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Other Identifiers 3

MedicaidWA405263807MO
Medicare ID-Type Unspecified23463MO
Medicare UPINU20321MO

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 20

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

DR. ANDREW ALLEN JOHNS DDS
Dentist
1200 E WOODHURST DR, STE H-200
SPRINGFIELD, MO 65804
Greene County (417) 881-6000
ASCEND DENTAL DESIGN, LLC
Clinic/Center (Dental)
1200 E WOODHURST DR, BUILDING U
SPRINGFIELD, MO 65804
Greene County (417) 887-3100
WELLNESS CONCEPTS CLINIC
Chiropractor
1200 E WOODHURST DR, SUITE R300
SPRINGFIELD, MO 65804
Greene County (417) 877-1300
CANDACE WAWRA
Hearing Instrument Specialist
1200 E WOODHURST DR, SUITE Q BUILDING 100
SPRINGFIELD, MO 65804
Greene County (417) 881-1010
SPRINGFIELD HEARING CENTER
Clinic/Center (Hearing and Speech)
1200 E WOODHURST DR, BUILDING Q, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 881-1010
THERAPY ASSOCIATES OF THE OZARKS, INC.
Speech-Language Pathologist
1200 E WOODHURST DR, STE. M300
SPRINGFIELD, MO 65804
Greene County (417) 882-7284
JONATHAN CLARK
Family Medicine
1200 E WOODHURST DR, SUITE Q-200
SPRINGFIELD, MO 65804
Greene County (417) 881-5639
DR. REBECCA E CHRESTMAN DOM & LAC
Acupuncturist
1200 E WOODHURST DR, R300
SPRINGFIELD, MO 65804
Greene County (417) 877-1300

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 Kevin D Wallace Dmd, PC's NPI number?

The NPI number for Kevin D Wallace Dmd, PC is 1841404019. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Kevin D Wallace Dmd, PC located?

Kevin D Wallace Dmd, PC is located at 1200 E Woodhurst Dr Suite 200-A, Springfield, MO 65804. The listed phone number is (417) 881-1123.

What is Kevin D Wallace Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Kevin D Wallace Dmd, PC was last updated on August 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.