IndividualActive
John Wallace, DDS
NPI 1629241070 · General Practice Dentistry · Santee, CA
John Wallace, DDS is a General Practice Dentistry provider in Santee, CA (NPI 1629241070).
Provider details
- NPI number
- 1629241070
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22186 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
9913 Mission Gorge Rd Unit 1
Santee, CA 92071-3843
Phone: (619) 448-3214
Street-level locationGet directions
Mailing address
9913 Mission Gorge Rd Unit 1
Santee, CA 92071-3843
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2008-04-08
Frequently asked questions
- What is John Wallace's NPI number?
- John Wallace's National Provider Identifier (NPI) is 1629241070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Wallace's specialty?
- John Wallace is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is John Wallace located?
- John Wallace's practice location on file with NPPES is 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843.
- What is John Wallace's phone number?
- The practice phone number listed in the NPPES registry for John Wallace is (619) 448-3214.
- Is John Wallace's NPI active?
- Yes — John Wallace's NPI (1629241070) is active in the NPPES registry as of the last update on 2008-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.