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Contact Information

CAROLINE WALLACE DDS
103 SOUTH COLORADO STREET
SALEM, VA24153
 Phone: 540-387-3844
 Fax: 540-387-3845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CAROLINE WALLACE DDS

NPI # 1295819738
LBN Legal business name CAROLINE WALLACE DDS
Authorized official CAROLINE WALLACE - (OWNER-PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 03/11/2014 - About 12 years ago
Identifiers
VA License # 0401007934
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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