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Provider Profile

Michael J. Wallace, DDS

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At a glance

About Dr. Wallace

Listed in the NPI registry as a dentist, Michael J. Wallace, DDS practices in Edmond, OK. NPI 1417014424 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Dentist (Primary)

Credentials & Licensing

OK licenceAs reported to the NPI registry
No. 5801As reported
NPINational Provider Identifier
1417014424Issued 2007

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Wallace specialize in?

Dr. Wallace is a dentist in Edmond, OK. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Dr. Wallace located?

Dr. Wallace is listed at 1617 E Danforth Rd, Edmond, OK 73034. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Wallace's phone number?

The number on file is (405) 340-0411. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Wallace's NPI number?

Dr. Wallace's National Provider Identifier is 1417014424. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Wallace been practicing?

Dr. Wallace has 19+ years experience. Registered with an NPI since 2007. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.

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