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WALLACE CARRILLO-MEDINA DMD PA
NPI 1558869917
Clinic/Center - Dental in Asheboro, NC

Active since January 30, 2018
511 GREENSBORO ST, ASHEBORO, NC 27203(732) 692-6929 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2021, Feb 5, 2021, Feb 15, 2018 (3 updates tracked since 2018).

About Wallace Carrillo-medina Dmd Pa NPPES

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

WALLACE CARRILLO-MEDINA DMD PA (NPI 1558869917) is a healthcare organization registered as a dental in Asheboro, North Carolina and active in the NPI registry since January 2018. The organization lists Wallace Carrillo-medina, President, as its authorized official.

NPPES Registry Identity

NPI1558869917
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWALLACE CARRILLO-MEDINA DMD PA
Location Address511 GREENSBORO STAsheboro, NC 27203-4736
Mailing Address511 Greensboro StAsheboro, NC 27203-4736 · (336) 629-3112
Phone(732) 692-6929
Organization SubpartNo
Authorized OfficialWallace Carrillo-medinaPresident · (336) 629-3112
Enumeration DateJanuary 30, 2018
Last NPPES UpdateFebruary 24, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1558869917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NC · 9900
Also ListedDentist · Orofacial PainTaxonomy 1223X2210X
511 GREENSBORO ST, Asheboro, NC 27203
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

HASEEB HUSSAIN
Dentist
511 GREENSBORO ST
ASHEBORO, NC 27203
Randolph County (336) 579-1451
KEIA LUSK
Student in an Organized Health Care Education/Training Program
511 GREENSBORO ST
ASHEBORO, NC 27203
Randolph County (336) 579-1451
HATICE BURCU TUZCU UCUNOGLU
Dentist (General Practice)
511 GREENSBORO ST
ASHEBORO, NC 27203
Randolph County (336) 579-1451
WALLACE CARRILLO-MEDINA DMD MS PA
Dentist (Orofacial Pain)
511 GREENSBORO ST
ASHEBORO, NC 27203
Randolph County (336) 629-3112
MORIAH IMANI MUHAMMAD
Student in an Organized Health Care Education/Training Program
511 GREENSBORO ST
ASHEBORO, NC 27203
Randolph County (336) 579-1451

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 Wallace Carrillo-Medina Dmd PA's NPI number?

The NPI number for Wallace Carrillo-Medina Dmd PA is 1558869917. It was assigned to this organization in the NPPES registry on January 30, 2018.

Where is Wallace Carrillo-Medina Dmd PA located?

Wallace Carrillo-Medina Dmd PA is located at 511 Greensboro St, Asheboro, NC 27203. The listed phone number is (732) 692-6929.

What is Wallace Carrillo-Medina Dmd PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Wallace Carrillo-Medina Dmd PA accept?

Health plans from UnitedHealthcare list Wallace Carrillo-Medina Dmd PA 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 Wallace Carrillo-Medina Dmd PA was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.