Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENZIE WALLACE, STUDENT
ActiveMCKENZIE WALLACE, STUDENT is a General Dentistry healthcare provider located in SAINT PAUL, Minnesota. NPI 1194429597 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SAINT PAUL, MN
Registration Details
- NPI Number
- 1194429597
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2023 (3.3377574105134 yrs)
- Last Updated
- May 25, 2023
- License
-
D14879 (MN)
Practice Information
- Address
-
1026 7TH ST WSAINT PAUL, MN, 551023828Browse MN providers · Browse ZIP 55102
- Phone
- 6517589500
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY MICHAEL SHEEHAN | DDS | 1376549352 |
| DR. DAVID RISCHALL | D.D.S. | 1891783379 |
| DR. JEFFREY J ROZINKA | DDS | 1942299896 |
| DR. MARK W. HOUSTON | DDS | 1770572414 |
| DR. TARA VONNE BRODERSEN | DDS | 1336138882 |
| DR. PHUONG-GIANG THI PHAM | DDS | 1427047638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.