Mary Taylor Wallace, DMD

General Practice Dentistry · Rainbow City, AL

Individual Active NPI

NPI number 1619020237

Practice location

112 W Grand Ave
Rainbow City, AL 35906-3233
Phone
(256) 442-7751
Fax
(256) 413-7718

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NPI record

NPI
1619020237
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3642 AL

About Dr. Wallace

Mary Taylor Wallace, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 112 W Grand Ave, Rainbow City, AL 35906-3233. The NPI number 1619020237 was assigned on January 18, 2007 and the record was last updated on July 8, 2007.

Dr. Wallace lists a license in the registry: #3642 (AL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Taylor Wallace, DMD?

The NPI number is 1619020237.

What is the phone number of Dr. Wallace?

The phone number listed for the practice location is (256) 442-7751.

Where is Dr. Wallace located?

112 W Grand Ave, Rainbow City, AL 35906-3233.

What is the taxonomy code for Dr. Wallace?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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