Mary Wallace, DMD
NPI 1619020237 · General Practice Dentistry · Rainbow City, AL
Mary Wallace, DMD is a General Practice Dentistry provider in Rainbow City, AL (NPI 1619020237).
Provider details
- NPI number
- 1619020237
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3642 (AL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.