Sarah A. Wallace, DMD
Oral & Maxillofacial Surgery · Moline, IL
UnclaimedDMDNPI 1164733762
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2010-06-29
- Practice location
- Moline, IL
- Last NPPES update
- 2020-12-04
State licenses
- IL · Registered nurse · REGISTERED PROFESSIONAL NURSEExpiredthrough 2012
- IL · Dentist · LICENSED DENTISTActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.