OrganizationActive
Michael J. Wallace D.D.S.
NPI 1669519559 · General Practice Dentistry · Edmond, OK
Michael J. Wallace D.D.S. is a General Practice Dentistry organization in Edmond, OK (NPI 1669519559).
Provider details
- NPI number
- 1669519559
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Wallace, Dentist(405) 340-0411
- License
- 5801 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1600 E 19th St
Suite 301
Edmond, OK 73013-6622
Phone: (405) 340-0411
Fax: (405) 340-3217
Street-level locationGet directions
Mailing address
1600 E 19th St
Edmond, OK 73013-6622
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2020-08-22
Frequently asked questions
- What is Michael J. Wallace D.D.S.'s NPI number?
- Michael J. Wallace D.D.S.'s National Provider Identifier (NPI) is 1669519559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael J. Wallace D.D.S.?
- Michael J. Wallace D.D.S. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Michael J. Wallace D.D.S. located?
- Michael J. Wallace D.D.S.'s practice location on file with NPPES is 1600 E 19th St, Edmond, OK 73013-6622.
- What is Michael J. Wallace D.D.S.'s phone number?
- The practice phone number listed in the NPPES registry for Michael J. Wallace D.D.S. is (405) 340-0411.
- Who is the authorized official for Michael J. Wallace D.D.S.?
- The authorized official listed on Michael J. Wallace D.D.S.'s NPPES record is Michael Wallace, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael J. Wallace D.D.S.'s NPI active?
- Yes — Michael J. Wallace D.D.S.'s NPI (1669519559) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.