OrganizationActive
Wallis Dental LLC
NPI 1831867985 · Dental Clinic/Center · Lexington, MA
Wallis Dental LLC is a Dental Clinic/Center organization in Lexington, MA (NPI 1831867985).
Provider details
- NPI number
- 1831867985
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Min Jung Kim, Dr.(781) 862-6565
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1 Wallis Ct Ste 4
Lexington, MA 02421-5416
Phone: (781) 862-6565
Street-level locationGet directions
Mailing address
1 Wallis Ct Ste 4
Lexington, MA 02421-5416
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Frequently asked questions
- What is Wallis Dental LLC's NPI number?
- Wallis Dental LLC's National Provider Identifier (NPI) is 1831867985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallis Dental LLC?
- Wallis Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wallis Dental LLC located?
- Wallis Dental LLC's practice location on file with NPPES is 1 Wallis Ct Ste 4, Lexington, MA 02421-5416.
- What is Wallis Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Wallis Dental LLC is (781) 862-6565.
- Who is the authorized official for Wallis Dental LLC?
- The authorized official listed on Wallis Dental LLC's NPPES record is Min Jung Kim, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallis Dental LLC's NPI active?
- Yes — Wallis Dental LLC's NPI (1831867985) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.