Douglas M Wallen is a general practice dentist in Champaign, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Douglas M Wallen NPI is 1407010176. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2502 GALEN DR
SUITE 103
CHAMPAIGN, IL
ZIP 61821-045
Phone: (217) 366-0050
The NPI 1407010176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/11/2008 and was last updated on 7/11/2008.