What is Gina Wallace's NPI number?

Gina Wallace's National Provider Identifier (NPI) is 1417699505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gina Wallace's specialty?

Gina Wallace is listed in the NPPES registry with a primary specialty of Dental Hygienist (Dental Providers).

Where is Gina Wallace located?

Gina Wallace's practice location on file with NPPES is 4741 Altama Ave, Brunswick, GA 31520-2910.

What is Gina Wallace's phone number?

The practice phone number listed in the NPPES registry for Gina Wallace is (912) 262-1081.

Is Gina Wallace's NPI active?

Yes — Gina Wallace's NPI (1417699505) is active in the NPPES registry as of the last update on 2022-04-10.

IndividualActive

Gina Wallace

NPI 1417699505 · Dental Hygienist · Brunswick, GA

Gina Wallace is a Dental Hygienist provider in Brunswick, GA (NPI 1417699505).

Provider details

NPI number: 1417699505
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Sex: Female
Sole proprietor: Yes
License: DH043989 (GA)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense DH043989 (GA)
Dental Providers

Profile Score

Established profile(61/100 index)

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

Registry tenure38% of score
4 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

4741 Altama Ave

Brunswick, GA 31520-2910

Phone: (912) 262-1081

Street-level locationGet directions

More GA providers

Mailing address