IndividualActive
Alan Wallace, DDS
NPI 1689740631 · General Practice Dentistry · Camdenton, MO
Provider details
- NPI number
- 1689740631
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 012116 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1497 N Highway 5
Camdenton, MO 65020
Phone: (573) 346-7278
Fax: (573) 346-2176
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 820
Camdenton, MO 65020
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2008-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.