OrganizationActive
Kevin D Wallace DMD, PC
NPI 1841404019 · Prosthodontics · Springfield, MO
Kevin D Wallace DMD, PC is a Prosthodontics organization in Springfield, MO (NPI 1841404019).
Provider details
- NPI number
- 1841404019
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Wallace, Dentist(417) 881-1123
- License
- 014935 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 E Woodhurst Dr
Suite 200-A
Springfield, MO 65804-4257
Phone: (417) 881-1123
Fax: (417) 883-0812
Approximate (ZIP-level) locationGet directions
Mailing address
1200 E Woodhurst Dr
Springfield, MO 65804-4257
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2008-08-21
Frequently asked questions
- What is Kevin D Wallace DMD, PC's NPI number?
- Kevin D Wallace DMD, PC's National Provider Identifier (NPI) is 1841404019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin D Wallace DMD, PC?
- Kevin D Wallace DMD, PC is classified in the NPPES registry as Prosthodontics (Dental Providers).
- Where is Kevin D Wallace DMD, PC located?
- Kevin D Wallace DMD, PC's practice location on file with NPPES is 1200 E Woodhurst Dr, Springfield, MO 65804-4257.
- What is Kevin D Wallace DMD, PC's phone number?
- The practice phone number listed in the NPPES registry for Kevin D Wallace DMD, PC is (417) 881-1123.
- Who is the authorized official for Kevin D Wallace DMD, PC?
- The authorized official listed on Kevin D Wallace DMD, PC's NPPES record is Kevin Wallace, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin D Wallace DMD, PC's NPI active?
- Yes — Kevin D Wallace DMD, PC's NPI (1841404019) is active in the NPPES registry as of the last update on 2008-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.