1200 E Woodhurst Dr, Suite 200-A, Springfield, MO 65804
Phone
(417) 881-1123
Listed under
Prosthodontists, Specialty practices
NPI
1841404019
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Prosthodontics (1223P0700X)
License number on NPI record
014935 (MO)
Authorized official
Kevin Wallace, DMD, PC, Dentist
NPI first issued
May 9, 2007
NPI record last updated
Aug 21, 2008
NPI 1841404019 is active in the federal NPPES registry (CMS) with Prosthodontics, an ADA-recognized dental specialty, as its primary taxonomy; license 014935 (MO) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Prosthodontists specialize in restoring and replacing teeth: crowns, bridges, dentures and the teeth that go on top of implants, including full-arch fixed bridges. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.
Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.