Dr. Joseph Francis Wallace III, D.D.S.
Dentist, Oral and Maxillofacial Surgery in Greenwich, CT. Individual provider (NPI-1).
Details
- NPI
- 1255421012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Francis Wallace III
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Jan 1, 2019 to Jan 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 7023 | CT | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 040760 | NY |
Practice location
23 Maple AveGreenwich, CT 06830-5620
Phone 203-661-5858 · Fax 203-661-1159
Mailing address
23 Maple AveGreenwich, CT 06830-5620
Phone 203-661-5858 · Fax 203-661-1159
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral and Maxillofacial Surgery (Dentist) providers in Greenwich, CT
- Michele Shoshana Bergen, D.M.D., M.D.NPI 1215929286
- Michael Forman, D.M.D. , M.D.NPI 1043672967
- Greenwich Oral And Maxillofacial Surgery Associates, P.C.NPI 1073633426
- Thomas Benedict Wilson, DDS,MDNPI 1649298944
- Brett Michael Zuckman, DMDNPI 1053699967
All 6 Oral and Maxillofacial Surgery (Dentist) providers in Greenwich · All 1,532 providers in Greenwich
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