OrganizationActive
Wallis Dental Corporation
NPI 1538551924 · General Practice Dentistry · Santa Clara, CA
Wallis Dental Corporation is a General Practice Dentistry organization in Santa Clara, CA (NPI 1538551924).
Provider details
- NPI number
- 1538551924
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Wallis, President(408) 406-3077
- License
- 34914 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
265 Crestview Dr
Santa Clara, CA 95050-6503
Phone: (408) 248-6777
Street-level locationGet directions
Mailing address
265 Crestview Dr
Santa Clara, CA 95050-6503
Other names (DBA / former)
- Doing business as
- Crestview Dental Group
Registry dates
- Enumerated
- 2015-02-23
- Last updated
- 2015-02-23
Frequently asked questions
- What is Wallis Dental Corporation's NPI number?
- Wallis Dental Corporation's National Provider Identifier (NPI) is 1538551924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallis Dental Corporation?
- Wallis Dental Corporation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Wallis Dental Corporation located?
- Wallis Dental Corporation's practice location on file with NPPES is 265 Crestview Dr, Santa Clara, CA 95050-6503.
- What is Wallis Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Wallis Dental Corporation is (408) 248-6777.
- Who is the authorized official for Wallis Dental Corporation?
- The authorized official listed on Wallis Dental Corporation's NPPES record is Kenneth Wallis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallis Dental Corporation's NPI active?
- Yes — Wallis Dental Corporation's NPI (1538551924) is active in the NPPES registry as of the last update on 2015-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.