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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WALLACE PERIODONTICS, LLC
NPI 1164333555
Clinic/Center - Dental in Sumter, SC

Active since September 15, 2026
3 PROFESSIONAL CT, SUMTER, SC 29150(803) 294-4021 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Wallace Periodontics, Llc NPPES

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

WALLACE PERIODONTICS, LLC (NPI 1164333555) is a healthcare organization registered as a dental in Sumter, South Carolina and active in the NPI registry since September 2026. The organization lists Casey Castle, Director Of Payor Contracts, as its authorized official.

NPPES Registry Identity

NPI1164333555
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWALLACE PERIODONTICS, LLC
Location Address3 PROFESSIONAL CTSumter, SC 29150-1927
Mailing Address3 Professional CtSumter, SC 29150-1927
Phone(803) 294-4021
Organization SubpartNo
Authorized OfficialCasey CastleDirector Of Payor Contracts · (912) 732-1504
Enumeration DateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1164333555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3 PROFESSIONAL CT, Sumter, SC 29150
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Other Providers at the Same Location NPPES

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

DR. MARSHALL LYNN WALLACE DMD
Dentist (Periodontics)
3 PROFESSIONAL CT
SUMTER, SC 29150
Sumter County (803) 469-9461

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 Wallace Periodontics, LLC's NPI number?

The NPI number for Wallace Periodontics, LLC is 1164333555. It was assigned to this organization in the NPPES registry on September 15, 2026.

Where is Wallace Periodontics, LLC located?

Wallace Periodontics, LLC is located at 3 Professional Ct, Sumter, SC 29150. The listed phone number is (803) 294-4021.

What is Wallace Periodontics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wallace Periodontics, LLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.