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MICHAEL P. WALLACE D.M.D., PC
NPI 1275770513
Dentist - General Practice in Saint Louis, MO

Active since January 08, 2009
9225 MANCHESTER RD, SUITE 101, SAINT LOUIS, MO 63144(314) 968-0003(314) 968-0383 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael P. Wallace D.m.d., Pc NPPES

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

MICHAEL P. WALLACE D.M.D., PC (NPI 1275770513) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since January 2009. The organization lists Michael Patrick Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1275770513
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL P. WALLACE D.M.D., PC
Location Address9225 MANCHESTER RD, SUITE 101Saint Louis, MO 63144-2640
Mailing Address9225 Manchester Rd, Suite 101Saint Louis, MO 63144-2640 · (314) 968-0003 · Fax (314) 968-0383
Phone(314) 968-0003
Fax(314) 968-0383
Organization SubpartNo
Authorized OfficialMichael Patrick WallaceOwner · (314) 968-0003
Enumeration DateJanuary 8, 2009
✔ NPI 1275770513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 13992
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.
9225 MANCHESTER RD, Saint Louis, MO 63144
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. KEITH FLETCHER ANDERSON D.M.D.
Dentist
9225 MANCHESTER RD, SUITE 202
SAINT LOUIS, MO 63144
St. Louis County (314) 961-5866
DR. DANIEL ALLAN DUNBAR D.M.D., M.S.
Dentist (Endodontics)
9225 MANCHESTER RD, STE. 201
SAINT LOUIS, MO 63144
St. Louis County (314) 961-9225
MICHAEL PATRICK WALLACE DMD
Dentist
9225 MANCHESTER RD, SUITE 101
SAINT LOUIS, MO 63144
St. Louis County (314) 968-0003

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 Michael P. Wallace D.M.D., PC's NPI number?

The NPI number for Michael P. Wallace D.M.D., PC is 1275770513. It was assigned to this organization in the NPPES registry on January 8, 2009.

Where is Michael P. Wallace D.M.D., PC located?

Michael P. Wallace D.M.D., PC is located at 9225 Manchester Rd Suite 101, Saint Louis, MO 63144. The listed phone number is (314) 968-0003.

What is Michael P. Wallace D.M.D., PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael P. Wallace D.M.D., PC was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.