R JEFFREY WALLACE DDS
NPI 1285744151
Dentist in Seymour, TN

Q: What is R Wallace's NPI number?

The NPI number for R Wallace is 1285744151. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is R Wallace's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for R Wallace was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 30, 2006PECOS Enrolled

11135 CHAPMAN HWY, SEYMOUR, TN 37865(865) 577-1963(865) 577-1014 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About R Jeffrey Wallace Dds NPPES

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

R JEFFREY WALLACE DDS (NPI 1285744151) is an individual dentist in Seymour, Tennessee, licensed in Tennessee (D54694) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285744151

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameR JEFFREY WALLACECredential: DDS

Location Address11135 CHAPMAN HWYSeymour, TN 37865-4857

Mailing Address11135 Chapman HwySeymour, TN 37865-4857 · (865) 577-1963 · Fax (865) 577-1014

Phone(865) 577-1963

Fax(865) 577-1014

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateOctober 10, 2016

✔ NPI 1285744151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TN · D54694

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11135 CHAPMAN HWY, Seymour, TN 37865

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Other Identifiers 1

Other0063801TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

R Jeffrey Wallace Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37865 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 R Wallace's NPI number?

The NPI number for R Wallace is 1285744151. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is R Wallace located?

R Wallace practices at 11135 Chapman Hwy, Seymour, TN 37865. The listed phone number is (865) 577-1963.

What is R Wallace's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is R Wallace enrolled in Medicare?

Yes. R Wallace is registered in the Medicare PECOS enrollment system.

What insurance does R Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list R 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 R Wallace was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.