DR. KEVIN D WALLACE DMD PC
NPI 1972750909
Dentist - Prosthodontics in Springfield, MO

Q: What is Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1972750909. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Q: What is Kevin Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Wallace was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 21, 2008

1200 E WOODHURST DR STE A200, 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: August 16, 2026.

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About Dr. Kevin D Wallace Dmd Pc NPPES

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

DR. KEVIN D WALLACE DMD PC (NPI 1972750909) is an individual prosthodontics provider in Springfield, Missouri, licensed in Missouri (014935) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1972750909

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. KEVIN D WALLACECredential: DMD PC

Location Address1200 E WOODHURST DR STE A200Springfield, MO 65804-3745

Mailing Address1200 E Woodhurst Dr Ste A200Springfield, MO 65804-3745 · (417) 881-1123 · Fax (417) 883-0812

Phone(417) 881-1123

Fax(417) 883-0812

Sole ProprietorYes

Enumeration DateAugust 21, 2008

✔ NPI 1972750909 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 STE A200, Springfield, MO 65804

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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 Wallace's NPI number?

The NPI number for Kevin Wallace is 1972750909. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Where is Kevin Wallace located?

Kevin Wallace practices at 1200 E Woodhurst Dr Ste A200, Springfield, MO 65804. The listed phone number is (417) 881-1123.

What is Kevin Wallace'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 Wallace was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.