npidexNPI registry + Medicare data

JOSEPH WALLACE, D.D.S.

Oral and Maxillofacial Surgery (Dentist) · GREENWICH, CT

Individual Active Opted out of Medicare NPI 1255421012

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓7023CT
Oral and Maxillofacial Surgery (Dentist)1223S0112X040760NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2019-01-01 through 2027-01-01.

Other Oral and Maxillofacial Surgery (Dentist) providers in Connecticut

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.