DR. LAWRENCE NORMAN WALLACE
NPI 1043486962
Dentist - Oral and Maxillofacial Surgery in Carmel Valley, CA

Q: What is Lawrence Wallace's NPI number?

The NPI number for Lawrence Wallace is 1043486962. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Q: What is Lawrence Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Wallace was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2008

2 MIDDLE CANYON RD, CARMEL VALLEY, CA 93924(831) 659-9300 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lawrence Norman Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE NORMAN WALLACE (NPI 1043486962) is an individual oral and maxillofacial surgery provider in Carmel Valley, California, licensed in Illinois (21-770) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1043486962

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. LAWRENCE NORMAN WALLACE

Location Address2 MIDDLE CANYON RDCarmel Valley, CA 93924-9404

Mailing Address2 Middle Canyon RdCarmel Valley, CA 93924-9404 · (831) 659-9300

Phone(831) 659-9300

Sole ProprietorNo

Enumeration DateApril 30, 2008

✔ NPI 1043486962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 21-770

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2 MIDDLE CANYON RD, Carmel Valley, CA 93924

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Wallace's NPI number?

The NPI number for Lawrence Wallace is 1043486962. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Lawrence Wallace located?

Lawrence Wallace practices at 2 Middle Canyon Rd, Carmel Valley, CA 93924. The listed phone number is (831) 659-9300.

What is Lawrence Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Lawrence Wallace was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.