Individual
DR. JODY PAUL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2148 HIGHWAY 54, GRAHAM, NC 27253
(336) 578-3884
(336) 578-3814
Mailing address
2148 HIGHWAY 54, GRAHAM, NC 27253
(336) 578-3884
(336) 578-3814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902J1
—
NC
Enumeration date
07/03/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us