IndividualActive
David Wallace, DDS, MS
NPI 1386646206 · Oral and Maxillofacial Surgery (Dentist) · Princeton, WV
Provider details
- NPI number
- 1386646206
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS, MS
- Sex
- Male
- License
- 1880 (WV)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
206 S Walker St
Princeton, WV 24740-2747
Phone: (304) 425-2611
Approximate (ZIP-level) locationGet directions
Mailing address
206 S Walker St
Princeton, WV 24740-2747
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.