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OSCAR RUSSELL WALLACE
NPI 1215722509
Dentist - General Practice in Cumming, GA

Active since April 09, 2025
312 TRIBBLE GAP RD, CUMMING, GA 30040(770) 887-1399 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Apr 9, 2025 (2 updates tracked since 2025).

About Oscar Russell Wallace NPPES

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

OSCAR RUSSELL WALLACE (NPI 1215722509) is an individual general practice provider in Cumming, Georgia, licensed in Georgia (DN123883) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1215722509
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameOSCAR RUSSELL WALLACE
Location Address312 TRIBBLE GAP RDCumming, GA 30040-2440
Mailing Address2545 Pine Bluff DrDecatur, GA 30033-4927 · (404) 723-0281
Phone(770) 887-1399
Sole ProprietorNo
Enumeration DateApril 9, 2025
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1215722509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN123883
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
312 TRIBBLE GAP RD, Cumming, GA 30040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Florida Combined Life, Humana.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. MELISSA THOMAS DURAND DMD
Dentist (General Practice)
312 TRIBBLE GAP RD
CUMMING, GA 30040
Forsyth County (770) 887-1399
DR. ROBERT LEONARD MCGUINN DMD
Dentist (General Practice)
312 TRIBBLE GAP RD
CUMMING, GA 30040
Forsyth County (770) 887-1399
FORSYTH DENTAL PARTNERS, LLC
Preferred Provider Organization
312 TRIBBLE GAP RD
CUMMING, GA 30040
Forsyth County (770) 887-1399
DR. RYAN DRIESSE DDS
Dentist (General Practice)
312 TRIBBLE GAP RD
CUMMING, GA 30040
Forsyth County (770) 887-1399
DR. MICHAEL D PALMER D.D.S.
Dentist
312 TRIBBLE GAP RD
CUMMING, GA 30040
Forsyth County (770) 887-1399
DR. BRIAN RICHARD CARPENTER D.D.S.
Dentist (General Practice)
312 TRIBBLE GAP RD
CUMMING, GA 30040
Forsyth County (770) 887-1399

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 Oscar Wallace's NPI number?

The NPI number for Oscar Wallace is 1215722509. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Oscar Wallace located?

Oscar Wallace practices at 312 Tribble Gap Rd, Cumming, GA 30040. The listed phone number is (770) 887-1399.

What is Oscar Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Oscar Wallace accept?

Health plans from BEST Life, Florida Combined Life and Humana list Oscar Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oscar Wallace was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.