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David A. Wallace, DDS, Ms, Ltd. — NPI 1356536593, Blacksburg, VA | NPI Central

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NPI 1356536593

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David A. Wallace, DDS, Ms, Ltd.

NPI 1356536593 · Oral and Maxillofacial Surgery (Dentist) · Blacksburg, VA

Provider details

NPI number: 1356536593
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Ella Hurst, Ofc. Mngr.
License: 1880 (WV)

Practice location

3712 S Main St

Blacksburg, VA 24060-7017

Phone: (540) 552-7222

Fax: (540) 953-3096

More VA providers

Mailing address

3712 S Main St

Blacksburg, VA 24060-7017

Registry dates

Enumerated: 2007-09-11
Last updated: 2023-09-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.