Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE SUZANNE WALLACE, DMD
Active Sole ProprietorLESLIE SUZANNE WALLACE, DMD is a Pediatric Dentistry healthcare provider located in LEBANON, Tennessee. NPI 1629301833 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LEBANON, TN
Registration Details
- NPI Number
- 1629301833
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2009 (16.920879970669 yrs)
- Last Updated
- Jan 8, 2014
- License
-
8973 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 PHYSICIANS WAYSUITE 150LEBANON, TN, 370904104Browse TN providers · Browse ZIP 37090
- Phone
- 8599480386
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in LEBANON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD HENRY GENTZLER III | DDS | 1801903067 |
| DR. HORTON SCOTT LI | DMD | 1083142483 |
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.