1. Home
  2. Directory
  3. Wisconsin
  4. Fond Du Lac
  5. Dentist
  6. NPI Profile

JACOB ROBERT WALLOCK DDS
NPI 1902485725
Dentist - General Practice in Fond Du Lac, WI

Active since April 07, 2021
145 S MARR ST, FOND DU LAC, WI 54935(920) 922-9000 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Jacob Robert Wallock Dds NPPES

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

JACOB ROBERT WALLOCK DDS (NPI 1902485725) is an individual general practice provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (1002568-15) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1902485725
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB ROBERT WALLOCKCredential: DDS
Location Address145 S MARR STFond Du Lac, WI 54935-4408
Mailing Address1801 W Wisconsin AveMilwaukee, WI 53233-2186 · (414) 322-9456
Phone(920) 922-9000
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1902485725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1002568-15
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.
145 S MARR ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

MAURY FAMILY DENTAL LLC
Dentist
145 S MARR ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-6260
DR. CHRISTOPHER J. MAURY D.D.S.
Dentist
145 S MARR ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-6260
DR. JULIE RENEE MAURY D.D.S.
Dentist (General Practice)
145 S MARR ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-6260
JEFFREY JAMES KRAIG D.D.S.
Dentist
145 S MARR ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 922-9000

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 Jacob Wallock's NPI number?

The NPI number for Jacob Wallock is 1902485725. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Jacob Wallock located?

Jacob Wallock practices at 145 S Marr St, Fond Du Lac, WI 54935. The listed phone number is (920) 922-9000.

What is Jacob Wallock's specialty?

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

What insurance does Jacob Wallock accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 1 other insurer list Jacob Wallock 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 Jacob Wallock was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.