Wallace, Michael Patrick

Wallace, Michael Patrick is an sole proprietor health care provider with primary practice located at 9225 Manchester Rd Suite 101, Saint Louis MO 63144-2640. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wallace, Michael Patrick can be contacted via phone (314) 968-0003.

Contact Information

Primary practice address
9225 Manchester Rd Suite 101 Saint Louis MO 63144-2640
Fax: (314) 968-0383

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13992 Missouri

Profile Details

NPI number 1679585038
LBN Legal business name Wallace, Michael Patrick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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