DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

C M WALLACE DDS PA

Active Organization

C M WALLACE DDS PA is a General Dentistry organization located in BONITA SPRINGS, Florida. NPI 1578612925 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BONITA SPRINGS, FL

Registration Details

NPI Number
1578612925
Provider Type
Organization
NPI Issued
Jan 8, 2007 (19.415117718206 yrs)
Last Updated
Sep 29, 2010
License
DN14024 (FL)

Practice Information

Address
8951 BONITA BEACH RD
BONITA SPRINGS, FL, 341354201
Browse FL providers · Browse ZIP 34135
Phone
2399928555
Fax
2399928644
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.