Wallach Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WALLACH DENTAL, PLLC

Practice address

4529 East TX-71
Del Valle, TX 78617

Phone

(903) 216-9687

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Brian Wallach, DDS

Title

Dentist

Phone

(903) 216-9687

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1710453063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 EAST TX-71",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 EAST TX-71",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "78617",
            "telephone_number": "903-216-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACH DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "WALLACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "903-216-9687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Co Sherriff Dept
• Travis County Fire Rescue Esd#11
• Travis County Jail System Pharmacy
• Diane Orbison Tyler, RN, PHD, FNP
• Olga J Vidal, LPC
• David Brian Wallach, DDS
• Wheels on Texas
• Melissa Whitaker
• Raven Sywaun Yates

• General Practice Dentistry in Del Valle, TX
• Providers in Del Valle, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.