Dr George M Wallace

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3016 Issued in NC

Legal business name

DR GEORGE M WALLACE

Practice address

710 N Elm St
High Point, NC 27262-3918

Phone

(336) 882-4181

Fax

(336) 464-2166

NPI assigned

Oct 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle L Overman

Title

Office Manager

Phone

(336) 882-4181

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1063923332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623918",
            "telephone_number": "336-882-4181",
            "fax_number": "336-464-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623918",
            "telephone_number": "336-882-4181",
            "fax_number": "336-464-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GEORGE M WALLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "OVERMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-882-4181"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Angelic Donnelly, PA-C
• Dooley Family Chiropractic, PLLC
• Henry Hartzog Dorn III, M.D.
• Brian W Doss, PA-C
• Patricia Kenney Doyle, PA
• Dr J Mark Oliver PLLC (North Point Dental Associates)
• Dr. Durshanapalli & Associates PLLC (Gentle Care Family Dental)
• Dr. John K. Lindsay
• Dr. Lancaster & Associates, PLLC (High Point Dental Care)
• Michael T. Draelos, MD

• General Practice Dentistry in High Point, NC
• Providers in High Point, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.