CHERYL WALLACE RDH
NPI 1306358312
Dental Hygienist in Phoenix, AZ

Q: What is Cheryl Wallace's NPI number?

The NPI number for Cheryl Wallace is 1306358312. It was assigned to this individual provider in the NPPES registry on October 31, 2017. The provider is also known as Cheryl Lynn Wallace Rdh.

Q: What is Cheryl Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cheryl Wallace was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 31, 2017PECOS Enrolled

3830 E VAN BUREN ST, PHOENIX, AZ 85008(602) 243-7277 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Jan 13, 2026, Oct 31, 2017 (3 updates tracked since 2017).

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About Cheryl Wallace Rdh NPPES

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

CHERYL WALLACE RDH (NPI 1306358312) is an individual dental hygienist in Phoenix, Arizona, licensed in Arizona (H009325) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306358312

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameCHERYL WALLACECredential: RDH

Location Address3830 E VAN BUREN STPhoenix, AZ 85008-6920

Mailing Address3003 N Central Ave Ste 1600Phoenix, AZ 85012-2908 · (602) 323-3344

Phone(602) 243-7277

Sole ProprietorNo

Enumeration DateOctober 31, 2017

Last NPPES UpdateMay 7, 20263 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1306358312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in AZ · H009325

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.

3830 E VAN BUREN ST, Phoenix, AZ 85008

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Other Names 1

Former Name (1)Cheryl Lynn Wallace Rdh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cheryl Wallace Rdh 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.

Other Providers at the Same Location NPPES 20

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

MICHELLE GALSTER

Social Worker (Clinical)