Dedra Davis-Wallace, DDS
NPI 1518057934 · Pediatric Dentistry · Eau Claire, WI
Dedra Davis-Wallace, DDS is a Pediatric Dentistry provider in Eau Claire, WI (NPI 1518057934).
Provider details
- NPI number
- 1518057934
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN012272 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-10-14
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Frequently asked questions
- What is Dedra Davis-Wallace's NPI number?
- Dedra Davis-Wallace's National Provider Identifier (NPI) is 1518057934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dedra Davis-Wallace's specialty?
- Dedra Davis-Wallace is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Dedra Davis-Wallace located?
- Dedra Davis-Wallace's practice location on file with NPPES is 3131 Stein Blvd, Eau Claire, WI 54701-6978.
- What is Dedra Davis-Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dedra Davis-Wallace is (715) 835-7172.
- Is Dedra Davis-Wallace's NPI active?
- Yes — Dedra Davis-Wallace's NPI (1518057934) is active in the NPPES registry as of the last update on 2022-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.