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Tabitha Wallace, RDH — NPI 1629348198, Little Rock, AR | NPI Central

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NPI 1629348198

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Tabitha Wallace, RDH

NPI 1629348198 · Dental Hygienist · Little Rock, AR

Provider details

NPI number: 1629348198
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH
Sex: Female
Sole proprietor: No
License: 2217 (AR)

Practice location

12921 Cantrell Road

Suite 101

Little Rock, AR 72223-1798

Phone: (501) 664-3279

Fax: (501) 664-5392

More AR providers

Mailing address

12921 Cantrell Road

Little Rock, AR 72223-1798

Registry dates

Enumerated: 2011-12-30
Last updated: 2011-12-30

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