DR. Mark C Wallace DDS

  • NPI 1104047190
According to our database, the NPI number for DR. Mark C Wallace DDS is 1104047190 and activated since 17 years ago. DR. Mark C Wallace DDS is an individual provider who specializes in General Practice, and the primary practice location is 50 County Road B E, Saint Paul, MN 55117. You can also contact DR. Mark C Wallace DDS via telephone number is (651) 488-2541. Provider NPI information was last updated on 06/25/2012.

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Overview of DR. Mark C Wallace DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/01/2007
  • Last updated: 06/25/2012

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: D12888
  • License State: MN

Provider Mailing Address

  • Address: 6642 Picha Pl
    Eden Prairie, MN 55346
  • Phone: 952-500-9805
  • Fax:

Provider Practice Location

  • Address: 50 County Road B E
    Saint Paul, MN 55117
  • Phone: 651-488-2541
  • Fax: 651-488-8944

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: D12888
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Mark C Wallace DDS?
  • A: The npi number for DR. Mark C Wallace DDS is 1104047190.
  • Q: What are DR. Mark C Wallace DDS's specialties?
  • A: DR. Mark C Wallace DDS's specialties are General Practice and different specialities.
  • Q: What is the medical license for DR. Mark C Wallace DDS?
  • A: The medical license number for DR. Mark C Wallace DDS is D12888 and issued in MN in USA.
  • Q: Where is DR. Mark C Wallace DDS practice location?
  • A: DR. Mark C Wallace DDS is practicing at 50 County Road B E, Saint Paul, MN 55117.
  • Q: How to contact DR. Mark C Wallace DDS?
  • A: You can contact DR. Mark C Wallace DDS via 651-488-2541.
Medicare Specialty
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