Zachary D. Wallace, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4241 Issued in AR

Legal business name

ZACHARY D. WALLACE, DDS, PLLC

Doing business as

Wallace Family Dental

Practice address

127 W Industrial Park Rd
Harrison, AR 72601-2205

Phone

(870) 741-2808

NPI assigned

Jul 18, 2018

Last updated

Sep 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary D Wallace, DDSNPI 1497287817

Title

Owner

Phone

(417) 209-0972

Specialties & licenses 1

Addresses

Other names 1

• Wallace Family Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary D Wallace, DDS

  • General Practice Dentistry
  • Harrison, AR
  • NPI 1497287817
  NPD Authorized official
• Stephen A. Beeler, D.D.S., P.A.

  • General Practice Dentistry
  • Harrison, AR
  • NPI 1942245998
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1144706581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W INDUSTRIAL PARK RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012205",
            "telephone_number": "870-741-2808",
            "fax_number": "870-741-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W INDUSTRIAL PARK RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012205",
            "telephone_number": "870-741-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY D. WALLACE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-209-0972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "4241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabre Ayers Wright, OD
• Douglas Yeager, QBHP
• Yellville - Summit School District
• Alice Youngblood, MHPP
• Youth Bridge
• Susan Lea Zickler, APN

• Dental Clinic/Center in Harrison, AR
• Providers in Harrison, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.