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Leslie Wallace, DMD
NPI 1629301833 · Pediatric Dentistry · Lebanon, TN
Leslie Wallace, DMD is a Pediatric Dentistry provider in Lebanon, TN (NPI 1629301833).
Provider details
- NPI number
- 1629301833
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8973 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
103 Physicians Way
Suite 150
Lebanon, TN 37090-4104
Phone: (859) 948-0386
Street-level locationGet directions
Mailing address
179 Cobbler Cir
Hendersonville, TN 37075-3963
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2014-01-08
Frequently asked questions
- What is Leslie Wallace's NPI number?
- Leslie Wallace's National Provider Identifier (NPI) is 1629301833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leslie Wallace's specialty?
- Leslie Wallace is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Leslie Wallace located?
- Leslie Wallace's practice location on file with NPPES is 103 Physicians Way, Lebanon, TN 37090-4104.
- What is Leslie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Leslie Wallace is (859) 948-0386.
- Is Leslie Wallace's NPI active?
- Yes — Leslie Wallace's NPI (1629301833) is active in the NPPES registry as of the last update on 2014-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.