1. Home
  2. Directory
  3. Florida
  4. Bonita Springs
  5. Dentist
  6. NPI Profile

C.M. WALLACE DDS
NPI 1487085072
Dentist - General Practice in Bonita Springs, FL

Active since December 06, 2013
8951 BONITA BEACH RD SE STE 206, BONITA SPRINGS, FL 34135(239) 992-8555(239) 992-8644 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C.m. Wallace Dds NPPES

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

C.M. WALLACE DDS (NPI 1487085072) is an individual general practice provider in Bonita Springs, Florida, licensed in Florida (DN14024) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1487085072
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameC.M. WALLACECredential: DDS
Location Address8951 BONITA BEACH RD SE STE 206Bonita Springs, FL 34135-4202
Mailing Address8951 Bonita Beach Rd Se Ste 206Bonita Springs, FL 34135-4202 · (239) 992-8555 · Fax (239) 992-8644
Phone(239) 992-8555
Fax(239) 992-8644
Sole ProprietorNo
Enumeration DateDecember 6, 2013
✔ NPI 1487085072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN14024
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.
8951 BONITA BEACH RD SE STE 206, Bonita Springs, FL 34135
Open in Google Maps ↗

Other Names 1

Professional Name (2)Charles Macon Wallace Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Humana, Paramount.Insurance ›

Other Providers at the Same Location NPPES 3

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

BONITA WELLNESS CENTER
Dentist (General Practice)
8951 BONITA BEACH RD SE STE 206
BONITA SPRINGS, FL 34135
Lee County (239) 992-8555
DR. SHIRLEY MARQUEZ D.D.S
Dentist
8951 BONITA BEACH RD SE STE 206
BONITA SPRINGS, FL 34135
Lee County (239) 992-8555
CLAUDIA SOPHIA VILLANUEVA DDS
Dentist
8951 BONITA BEACH RD SE STE 206
BONITA SPRINGS, FL 34135
Lee County (239) 992-8555

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 C.m. Wallace's NPI number?

The NPI number for C.m. Wallace is 1487085072. It was assigned to this individual provider in the NPPES registry on December 6, 2013. The provider is also known as Charles Macon Wallace Dds.

Where is C.m. Wallace located?

C.m. Wallace practices at 8951 Bonita Beach Rd SE Ste 206, Bonita Springs, FL 34135. The listed phone number is (239) 992-8555.

What is C.m. Wallace's specialty?

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

What insurance does C.m. Wallace accept?

Health plans from HRI Dental & Vision, Humana and Paramount list C.m. 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 C.m. Wallace was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.