# JOHN D. WALLACE, DDS, MD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dallas Oral Surgery Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356535314
- **Authorized official:** JOHN D WALLACE DDS, MD (DOCTOR)
- **Authorized official phone:** (214) 334-7722

## Contact information

- **Practice address:** 8315 WALNUT HILL LN STE 120, DALLAS, TX 75231-4218
- **Practice address phone:** (214) 363-9946
- **Practice address fax:** (214) 389-1953
- **Mailing address:** 8315 WALNUT HILL LN, SUITE 120, DALLAS, TX 75231-4218
- **Mailing address phone:** (214) 363-9946
- **Mailing address fax:** (214) 389-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 19862 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 06/16/2023