OrganizationActive
Wallace Carrillo-Medina DMD Ms PA
NPI 1689290173 · Orofacial Pain Dentistry · Asheboro, NC
Wallace Carrillo-Medina DMD Ms PA is a Orofacial Pain Dentistry organization in Asheboro, NC (NPI 1689290173).
Provider details
- NPI number
- 1689290173
- Entity type
- Organization
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Wallace Carrillo-Medina, President(336) 629-3112
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
511 Greensboro St
Asheboro, NC 27203-4736
Phone: (336) 629-3112
Fax: (336) 629-4251
Street-level locationGet directions
Mailing address
511 Greensboro St
Asheboro, NC 27203-4736
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2020-06-19
- Certified
- 2020-06-19
Frequently asked questions
- What is Wallace Carrillo-Medina DMD Ms PA's NPI number?
- Wallace Carrillo-Medina DMD Ms PA's National Provider Identifier (NPI) is 1689290173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace Carrillo-Medina DMD Ms PA?
- Wallace Carrillo-Medina DMD Ms PA is classified in the NPPES registry as Orofacial Pain Dentistry (Dental Providers).
- Where is Wallace Carrillo-Medina DMD Ms PA located?
- Wallace Carrillo-Medina DMD Ms PA's practice location on file with NPPES is 511 Greensboro St, Asheboro, NC 27203-4736.
- What is Wallace Carrillo-Medina DMD Ms PA's phone number?
- The practice phone number listed in the NPPES registry for Wallace Carrillo-Medina DMD Ms PA is (336) 629-3112.
- Who is the authorized official for Wallace Carrillo-Medina DMD Ms PA?
- The authorized official listed on Wallace Carrillo-Medina DMD Ms PA's NPPES record is Wallace Carrillo-Medina, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace Carrillo-Medina DMD Ms PA's NPI active?
- Yes — Wallace Carrillo-Medina DMD Ms PA's NPI (1689290173) is active in the NPPES registry as of the last update on 2020-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.