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MRS. TABITHA A WALLACE RDH
NPI 1629348198
Dental Hygienist in Little Rock, AR

Active since December 30, 2011
12921 CANTRELL ROAD, SUITE 101, LITTLE ROCK, AR 72223(501) 664-3279(501) 664-5392 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tabitha A Wallace Rdh NPPES

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

MRS. TABITHA A WALLACE RDH (NPI 1629348198) is an individual dental hygienist in Little Rock, Arkansas, licensed in Arkansas (2217) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1629348198
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. TABITHA A WALLACECredential: RDH
Location Address12921 CANTRELL ROAD, SUITE 101Little Rock, AR 72223-1798
Mailing Address12921 Cantrell Road, Suite 101Little Rock, AR 72223-1798 · (501) 664-3279 · Fax (501) 664-5392
Phone(501) 664-3279
Fax(501) 664-5392
Sole ProprietorNo
Enumeration DateDecember 30, 2011
✔ NPI 1629348198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in AR · 2217
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
12921 CANTRELL ROAD, Little Rock, AR 72223
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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.

MRS. CYNTHIA RENEE MYHAND
Dental Assistant
12921 CANTRELL ROAD, SUITE 101
LITTLE ROCK, AR 72223
Pulaski County (501) 664-3279
CAROL ANN PIERCE RDH
Dental Hygienist
12921 CANTRELL ROAD, SUITE 101
LITTLE ROCK, AR 72223
Pulaski County (501) 664-3279
DONALD A DEEMS III DDS PA
Dentist (General Practice)
12921 CANTRELL ROAD, SUITE 101
LITTLE ROCK, AR 72223
Pulaski County (501) 664-3279
DONALD ARTHUR DEEMS III DDS
Dentist (General Practice)
12921 CANTRELL ROAD, SUITE 101
LITTLE ROCK, AR 72223
Pulaski County (501) 664-3279
MRS. ANNETTE KNIGHT
Dental Assistant
12921 CANTRELL ROAD, SUITE 101
LITTLE ROCK, AR 72223
Pulaski County (501) 664-3279

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 Tabitha Wallace's NPI number?

The NPI number for Tabitha Wallace is 1629348198. It was assigned to this individual provider in the NPPES registry on December 30, 2011.

Where is Tabitha Wallace located?

Tabitha Wallace practices at 12921 Cantrell Road Suite 101, Little Rock, AR 72223. The listed phone number is (501) 664-3279.

What is Tabitha Wallace's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Tabitha Wallace was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.