OrganizationActive
Michael P. Wallace D.M.D., PC
NPI 1275770513 · General Practice Dentistry · Saint Louis, MO
Michael P. Wallace D.M.D., PC is a General Practice Dentistry organization in Saint Louis, MO (NPI 1275770513).
Provider details
- NPI number
- 1275770513
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Wallace, Owner(314) 968-0003
- License
- 13992 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
9225 Manchester Rd
Suite 101
Saint Louis, MO 63144-2640
Phone: (314) 968-0003
Fax: (314) 968-0383
Street-level locationGet directions
Mailing address
9225 Manchester Rd
Saint Louis, MO 63144-2640
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2009-01-08
Frequently asked questions
- What is Michael P. Wallace D.M.D., PC's NPI number?
- Michael P. Wallace D.M.D., PC's National Provider Identifier (NPI) is 1275770513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael P. Wallace D.M.D., PC?
- Michael P. Wallace D.M.D., PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Michael P. Wallace D.M.D., PC located?
- Michael P. Wallace D.M.D., PC's practice location on file with NPPES is 9225 Manchester Rd, Saint Louis, MO 63144-2640.
- What is Michael P. Wallace D.M.D., PC's phone number?
- The practice phone number listed in the NPPES registry for Michael P. Wallace D.M.D., PC is (314) 968-0003.
- Who is the authorized official for Michael P. Wallace D.M.D., PC?
- The authorized official listed on Michael P. Wallace D.M.D., PC's NPPES record is Michael Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael P. Wallace D.M.D., PC's NPI active?
- Yes — Michael P. Wallace D.M.D., PC's NPI (1275770513) is active in the NPPES registry as of the last update on 2009-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.