What is C.m. Wallace's NPI number?

C.m. Wallace's National Provider Identifier (NPI) is 1487085072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is C.m. Wallace's specialty?

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

Where is C.m. Wallace located?

C.m. Wallace's practice location on file with NPPES is 8951 Bonita Beach Rd Se Ste 206, Bonita Springs, FL 34135-4202.

What is C.m. Wallace's phone number?

The practice phone number listed in the NPPES registry for C.m. Wallace is (239) 992-8555.

Is C.m. Wallace's NPI active?

Yes — C.m. Wallace's NPI (1487085072) is active in the NPPES registry as of the last update on 2013-12-06.

IndividualActive

C.m. Wallace, DDS

NPI 1487085072 · General Practice Dentistry · Bonita Springs, FL

C.m. Wallace, DDS is a General Practice Dentistry provider in Bonita Springs, FL (NPI 1487085072).

Provider details

NPI number: 1487085072
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DN14024 (FL)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DN14024 (FL)
Dental Providers

Profile Score

Detailed profile(76/100 index)

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

Registry tenure38% of score
12 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

8951 Bonita Beach Rd Se Ste 206

Bonita Springs, FL 34135-4202

Phone: (239) 992-8555

Fax: (239) 992-8644

Approximate (ZIP-level) locationGet directions

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Mailing address