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Contact Information

WALLACE J ERNST, DDS
106 W 5TH STREET
RICEVILLE, IA50466
 Phone: 641-985-2555
 Fax: 641-985-2918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WALLACE J ERNST · (Male)

NPI # 1114949740
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 7059
  • IA Medicaid 1227736
  • IA Other 22772 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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