DR. RYAN CHRISTOPHER WALLACE D.D.S.
NPI 1477875458
Dentist - Prosthodontics in Los Angeles, CA

Q: What is Ryan Wallace's NPI number?

The NPI number for Ryan Wallace is 1477875458. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Q: What is Ryan Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Wallace was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 February 18, 2010

12300 WILSHIRE BLVD STE 400, LOS ANGELES, CA 90025(310) 597-0715(310) 458-8804 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ryan Christopher Wallace D.d.s. NPPES

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

DR. RYAN CHRISTOPHER WALLACE D.D.S. (NPI 1477875458) is an individual prosthodontics provider in Los Angeles, California, licensed in California (57224) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1477875458

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. RYAN CHRISTOPHER WALLACECredential: D.D.S.

Location Address12300 WILSHIRE BLVD STE 400Los Angeles, CA 90025-1020

Mailing Address12300 Wilshire Blvd Ste 400Los Angeles, CA 90025-1020 · (310) 393-8317 · Fax (310) 458-8804

Phone(310) 597-0715

Fax(310) 458-8804

Sole ProprietorNo

Enumeration DateFebruary 18, 2010

Last NPPES UpdateJune 12, 2025

NPPES CertifiedJune 12, 2025

✔ NPI 1477875458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CA · 57224

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

12300 WILSHIRE BLVD STE 400, Los Angeles, CA 90025

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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 Ryan Wallace's NPI number?

The NPI number for Ryan Wallace is 1477875458. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Ryan Wallace located?

Ryan Wallace practices at 12300 Wilshire Blvd Ste 400, Los Angeles, CA 90025. The listed phone number is (310) 597-0715.

What is Ryan Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Ryan Wallace was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.