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DENNIS LEE WALLACE P.A.
NPI 1396790986
Physician Assistant - Medical in Flint, MI

Active since May 23, 2006
4100 BEECHER RD, SUITE A, FLINT, MI 48532(810) 342-3800(810) 342-3784 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dennis Lee Wallace P.a. NPPES

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

DENNIS LEE WALLACE P.A. (NPI 1396790986) is an individual medical provider in Flint, Michigan, licensed in Michigan (5601002261) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1396790986
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDENNIS LEE WALLACECredential: P.A.
Location Address4100 BEECHER RD, SUITE AFlint, MI 48532-3661
Mailing Address4100 Beecher Rd, Suite AFlint, MI 48532-3661 · (810) 342-3800 · Fax (810) 342-3784
Phone(810) 342-3800
Fax(810) 342-3784
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 11, 2010
✔ NPI 1396790986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601002261
4100 BEECHER RD, Flint, MI 48532
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified0N96090MI

Other Providers at the Same Location NPPES 8

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

HESHAM E GAYAR, M.D., P.C.
Radiology (Radiation Oncology)
4100 BEECHER RD, SUITE A
FLINT, MI 48532
Genesee County (810) 342-3813
JACK LEE NETTLETON M.D.
Radiology (Radiation Oncology)
4100 BEECHER RD, SUITE A
FLINT, MI 48532
Genesee County (810) 342-3800
DR. T TREVOR SINGH M.D.
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Genesee County (810) 235-8568
SCOTT SALAM KIZY M.D.
Surgery
4100 BEECHER RD
FLINT, MI 48532
Genesee County (810) 342-3800
SINGH & ARORA ONCOLOGY HEMATOLOGY P C
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Genesee County (810) 235-8568
DR. MADAN ARORA M.D.
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Genesee County (810) 235-8568
SANDEEP S GREWAL M.D.
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Genesee County (810) 235-8568
HESHAM GAYAR M.D.
Radiology (Radiation Oncology)
4100 BEECHER RD, SUITE A
FLINT, MI 48532
Genesee County (810) 342-3800

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 Dennis Wallace's NPI number?

The NPI number for Dennis Wallace is 1396790986. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Dennis Wallace located?

Dennis Wallace practices at 4100 Beecher Rd Suite A, Flint, MI 48532. The listed phone number is (810) 342-3800.

What is Dennis Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Dennis Wallace was last updated on August 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.