Most Relevant Information
Provider Data
| NPI Number: | 1003332784 |
| Provider Name: | DAVID MATTHEW WALLITT DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 8996 |
Most Important Dates
| Enumeration Date: | 08/15/2017 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
652 HAMILTON ROAD
FORT SILL
OK
73503
Practice Location Phone/Fax
| Phone: | 5804423905 |
| Fax: |
Provider Mailing Location
652 HAMILTON ROAD
FORT SILL
OK
73503
Provider Mailing Phone/Fax
| Phone: | 5804423905 |
| Fax: |