Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
C.M. WALLACE, DDS
ActiveC.M. WALLACE, DDS is a General Dentistry healthcare provider located in BONITA SPRINGS, Florida. NPI 1487085072 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BONITA SPRINGS, FL
Registration Details
- NPI Number
- 1487085072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2013 (12.703117980001 yrs)
- Last Updated
- Dec 6, 2013
- License
-
DN14024 (FL)
Practice Information
- Address
-
8951 BONITA BEACH RD SE STE 206BONITA SPRINGS, FL, 341354202Browse FL providers · Browse ZIP 34135
- Phone
- 2399928555
- Fax
- 2399928644
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BONITA SPRINGS, FL
| Name | Credential | NPI |
|---|---|---|
| HENRY L DEGENOVA | DDS | 1386620664 |
| DR. JOSE RAUL VENEGAS | DDS | 1881706802 |
| DR. STEVEN A KOVACS | D.D.S. | 1306937388 |
| KIM HAI NGUYEN | DMD | 1558456665 |
| DR. FADY I FAKHOURY | DDS | 1265514418 |
| MRS. SONIA ARELIS ROCHA | DDS | 1942351622 |
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.