NPI 1386646206

David Allen Wallace, DDSMS

Practitioner Oral and Maxillofacial Surgery (Dentist) Princeton, WV

Practice location

Address: 206 S Walker St, Princeton, WV 24740-2747
Phone: (304) 425-2611

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 1880 (WV)

Other Dentist providers in West Virginia →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 0401003440 (VA)

Registry record

NPI: 1386646206
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.