OrganizationActive
Phillip W Wallace DDS Inc
NPI 1699140202 · General Practice Dentistry · Willoughby, OH
Phillip W Wallace DDS Inc is a General Practice Dentistry organization in Willoughby, OH (NPI 1699140202).
Provider details
- NPI number
- 1699140202
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Phillip Wallace, Owner(440) 946-5484
- License
- 30.016266 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
36001 Euclid Ave
Suite A-15
Willoughby, OH 44094-4643
Phone: (440) 946-5485
Fax: (440) 946-5810
Street-level locationGet directions
Mailing address
36001 Euclid Ave
Willoughby, OH 44094-4643
Registry dates
- Enumerated
- 2015-12-08
- Last updated
- 2015-12-08
Frequently asked questions
- What is Phillip W Wallace DDS Inc's NPI number?
- Phillip W Wallace DDS Inc's National Provider Identifier (NPI) is 1699140202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phillip W Wallace DDS Inc?
- Phillip W Wallace DDS Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Phillip W Wallace DDS Inc located?
- Phillip W Wallace DDS Inc's practice location on file with NPPES is 36001 Euclid Ave, Willoughby, OH 44094-4643.
- What is Phillip W Wallace DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Phillip W Wallace DDS Inc is (440) 946-5485.
- Who is the authorized official for Phillip W Wallace DDS Inc?
- The authorized official listed on Phillip W Wallace DDS Inc's NPPES record is Phillip Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phillip W Wallace DDS Inc's NPI active?
- Yes — Phillip W Wallace DDS Inc's NPI (1699140202) is active in the NPPES registry as of the last update on 2015-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.