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DEANNA T WALLACE RDH
NPI 1043880438
Dental Hygienist in Janesville, WI

Active since June 28, 2021
1344 CRESTON PARK DR STE 2, JANESVILLE, WI 53545(608) 314-1940 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deanna T Wallace Rdh NPPES

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

DEANNA T WALLACE RDH (NPI 1043880438) is an individual dental hygienist in Janesville, Wisconsin, licensed in Wisconsin (5054-16) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1043880438
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameDEANNA T WALLACECredential: RDH
Location Address1344 CRESTON PARK DR STE 2Janesville, WI 53545-1113
Mailing Address23 W Milwaukee StJanesville, WI 53548-2981 · (608) 314-1930
Phone(608) 314-1940
Sole ProprietorYes
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1043880438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in WI · 5054-16
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1344 CRESTON PARK DR STE 2, Janesville, WI 53545
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT JEROME DMD
Dentist
1344 CRESTON PARK DR STE 2
JANESVILLE, WI 53545
Rock County (608) 314-1940
HEATHER RENEE WALKER RDH
Dental Hygienist
1344 CRESTON PARK DR STE 2
JANESVILLE, WI 53545
Rock County (608) 314-1940

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 Deanna Wallace's NPI number?

The NPI number for Deanna Wallace is 1043880438. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Deanna Wallace located?

Deanna Wallace practices at 1344 Creston Park Dr Ste 2, Janesville, WI 53545. The listed phone number is (608) 314-1940.

What is Deanna Wallace's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Deanna Wallace was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.