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Joel Richard Wallace, D.D.S.

NPI 1023496148ActiveIndividual· Dentist, General Practice· Eagle River, AK

Dentist, General Practice (D.D.S.) in Eagle River, Alaska, licensed in AK, with an NPI issued in May 2015.

Overview

NPI1023496148
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedMay 8, 2015
Last updated in NPPESMay 8, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X519AK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Eagle River

All 21 general dentists in Eagle River · All general dentists in Alaska