IndividualActive
Marc Wallach, DDS
NPI 1104813831 · Dentist · Saint Louis, MO
Provider details
- NPI number
- 1104813831
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 13366 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
77 Westport Plz
Suite 251
Saint Louis, MO 63146-3107
Phone: (314) 434-7300
Fax: (314) 275-7680
Approximate (ZIP-level) locationGet directions
Mailing address
77 Westport Plz
Saint Louis, MO 63146-3107
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.