DR. JOHN DAVID WALLACE (DDS, MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1811978349
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JOHN DAVID WALLACE (DDS, MD)
10830, North Central Expressway, Gifford, Dallas, Dallas County, Texas, 75231, United States
STE 495
DALLAS, TX 752311050
Phone: (214) 750-6860
Fax: (214) 265-0066
Type: Mailing
8315 WALNUT HILL LN STE 120
DALLAS, TX 752314218
Phone: (214) 363-9946
Fax: (214) 389-1953
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $785.
Total Amount is formed as General ($785) + Research ($0) + Ownership ($0) = $785.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Keystone Dental Inc. ($359).
Total Amount
$785
General + Research + Ownership
Payments
9
Total payment records
General Amount
$785
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Keystone Dental Inc. | $359 |
| Nobel Biocare USA | $242 |
| KLS-Martin L.P. | $120 |
| Straumann USA LLC | $64 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-20
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75231)
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