DR. KEVIN BRUCE WALLACE D.M.D.
NPI 1316960131
Dentist in Leesburg, FL

Q: What is Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1316960131. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Kevin 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 Kevin Wallace was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 25, 2006

949 N 14TH ST, LEESBURG, FL 34748(352) 816-0855 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kevin Bruce Wallace D.m.d. NPPES

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

DR. KEVIN BRUCE WALLACE D.M.D. (NPI 1316960131) is an individual dentist in Leesburg, Florida, licensed in Florida (DN15774) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1316960131

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEVIN BRUCE WALLACECredential: D.M.D.

Location Address949 N 14TH STLeesburg, FL 34748-3838

Mailing Address1107 S.e. 24 TerraceOcala, FL 34471 · (352) 867-9890 · Fax (352) 622-7616

Phone(352) 816-0855

Sole ProprietorYes

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 2, 2011

✔ NPI 1316960131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN15774

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.

949 N 14TH ST, Leesburg, FL 34748

Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

DR. WENDY GOODMAN DDS

Dentist (Periodontics)

949 N 14TH ST
LEESBERG, FL 34748

Lake County (352) 460-0164

DR. DERRICK RIZZIELLO DMD

Dentist (General Practice)

949 N 14TH ST
LEESBURG, FL 34748

Lake County (352) 460-0164

DR. SAM J GUARNIERI DMD

Dentist (General Practice)

949 N 14TH ST
LEESBURG, FL 34748

Lake County (352) 460-0164

CHARLES E EARNHARDT DMD

Dentist (Endodontics)

949 N 14TH ST
LEESBURG, FL 34748

Lake County (352) 460-0164

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 Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1316960131. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kevin Wallace located?

Kevin Wallace practices at 949 N 14th St, Leesburg, FL 34748. The listed phone number is (352) 816-0855.

What is Kevin Wallace's specialty?

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

What insurance does Kevin Wallace accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 3 other insurers list Kevin 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 Kevin Wallace was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.