What is Michael Wallace's NPI number?

Michael Wallace's National Provider Identifier (NPI) is 1124127279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Wallace's specialty?

Michael Wallace is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Michael Wallace located?

Michael Wallace's practice location on file with NPPES is 1195 W Mason St, Green Bay, WI 54303-2045.

What is Michael Wallace's phone number?

The practice phone number listed in the NPPES registry for Michael Wallace is (920) 498-3633.

Is Michael Wallace's NPI active?

Yes — Michael Wallace's NPI (1124127279) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Michael Wallace, DDS

NPI 1124127279 · General Practice Dentistry · Green Bay, WI

Michael Wallace, DDS is a General Practice Dentistry provider in Green Bay, WI (NPI 1124127279).

Provider details

NPI number: 1124127279
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 2515 (WI)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 2515 (WI)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1195 W Mason St

Green Bay, WI 54303-2045

Phone: (920) 498-3633

Fax: (920) 498-1099

Street-level locationGet directions

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Mailing address