IndividualActive
Jeffrey Wallace, DDS
NPI 1821014838 · Dentist · Townshend, VT
Jeffrey Wallace, DDS is a Dentist provider in Townshend, VT (NPI 1821014838).
Provider details
- NPI number
- 1821014838
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 988 (VT)
Practice location
74 Grafton Rd
Townshend, VT 05353-0262
Phone: (802) 365-4313
Street-level locationGet directions
Mailing address
Po Box 262
Townshend, VT 05353-0262
Registry dates
- Enumerated
- 2006-07-14
- 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.