ASHLEY WALLACE DMD
NPI 1417466236
Dentist - General Practice in Groton, CT

Active since September 25, 2017

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Wallace Dmd NPPES

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

ASHLEY WALLACE DMD (NPI 1417466236) is an individual general practice provider in Groton, Connecticut, licensed in Massachusetts (DN1857727) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1417466236
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameASHLEY WALLACECredential: DMD
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address1 Wahoo AveGroton, CT 06349-2324
Sole ProprietorNo
Enumeration DateSeptember 25, 2017
NPI 1417466236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · DN1857727
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.
1 WAHOO AVE, Groton, CT 06349

Accepted Insurance

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.

Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349

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 Ashley Wallace's NPI number?

The NPI number for Ashley Wallace is 1417466236. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Ashley Wallace located?

Ashley Wallace practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (860) 694-3738.

What is Ashley Wallace's specialty?

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

What insurance does Ashley Wallace accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ashley 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 Ashley Wallace was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.