NPI 1467846824

Wallace Sigmon McLaurin

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Cincinnati, OH

Practice location

Address: 222 Piedmont Ave, Cincinnati, OH 45219
Phone: (513) 475-8783
Fax: (513) 475-7698
Mailing address: 2830 Victory Pkwy, Cincinnati, OH 45206-1785

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 30.025891 (OH)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1467846824
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2015
Record last updated: 16 Jul 2019

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.