Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE CARRILLO-MEDINA, DMD
ActiveWALLACE CARRILLO-MEDINA, DMD is a General Dentistry healthcare provider located in HIGH POINT, North Carolina. NPI 1558649947 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HIGH POINT, NC
Registration Details
- NPI Number
- 1558649947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2011 (15.038857856614 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
055454 (NY)9900 (NC)
Practice Information
- Address
-
101 NORTHPOINT AVEHIGH POINT, NC, 272627719Browse NC providers · Browse ZIP 27262
- Phone
- 3368836450
- Fax
- 3368836451
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in HIGH POINT, NC
| Name | Credential | NPI |
|---|---|---|
| DR. AMELIA CLAIRE WILSON | D.D.S. | 1114921855 |
| DR. BRADLEY AUSTIN SAMUEL | D.D.S. | 1780626366 |
| DR. MICHAEL DAVID SAMUEL | D.D.S. | 1487690061 |
| DR. ROBERT WERNER VON DOHLEN | DDS | 1427084078 |
| DR. CLAUDE JEFFERY BRADDY | DDS | 1487681128 |
| DR. JAMES LEONARD MENIUS | D.D.S. | 1073540548 |
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.