What is Mark Wallace's NPI number?

Mark Wallace's National Provider Identifier (NPI) is 1669467213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Wallace's specialty?

Mark Wallace is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Mark Wallace located?

Mark Wallace's practice location on file with NPPES is 168 N 1950 W Ste 202, Salt Lake City, UT 84116-3007.

What is Mark Wallace's phone number?

The practice phone number listed in the NPPES registry for Mark Wallace is (801) 715-3400.

Is Mark Wallace's NPI active?

Yes — Mark Wallace's NPI (1669467213) is active in the NPPES registry as of the last update on 2020-04-06.

IndividualActive

Mark Wallace, DDS

NPI 1669467213 · General Practice Dentistry · Salt Lake City, UT

Mark Wallace, DDS is a General Practice Dentistry provider in Salt Lake City, UT (NPI 1669467213).

Provider details

NPI number: 1669467213
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 142818-9921 (UT)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 142818-9921 (UT)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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

168 N 1950 W Ste 202

Salt Lake City, UT 84116-3007

Phone: (801) 715-3400

Street-level locationGet directions

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Mailing address