DR. MARTHA COCHRAN WALLACE D.M.D.
NPI 1639172158
Dentist - General Practice in Birmingham, AL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since May 30, 2005

1400 6TH AVE S, BIRMINGHAM, AL 35233(205) 930-1015(205) 930-1448 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Martha Cochran Wallace D.m.d. NPPES

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

DR. MARTHA COCHRAN WALLACE D.M.D. (NPI 1639172158) is an individual general practice provider in Birmingham, Alabama, licensed in Alabama (3030) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1639172158

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARTHA COCHRAN WALLACECredential: D.M.D.

Location Address1400 6TH AVE SBirmingham, AL 35233-1502

Mailing Address1400 6th Ave SBirmingham, AL 35233-1502 · (205) 930-1015 · Fax (205) 930-1448

Phone(205) 930-1015

Fax(205) 930-1448

Sole ProprietorNo

Enumeration DateMay 30, 2005

Last NPPES UpdateJanuary 5, 2011

✔ NPI 1639172158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AL · 3030

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.

1400 6TH AVE S, Birmingham, AL 35233

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Other Identifiers 9

Other510-40458AL · Blue Cross Blue Shield

Medicaid103676AL

Medicaid103578AL

Medicaid103678AL

Medicaid103546AL

Other510-40460AL · Blue Cross Blue Shield

Medicaid1639172158AL

Other510-40459AL · Blue Cross Blue Shield

Other510-40457AL · Blue Cross Blue Shield

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.

DR. TERI DIANNE CHAFIN D.M.D., M.P.H.

Dentist (General Practice)

1400 6TH AVE S, DENTAL HEALTH SERVICES
BIRMINGHAM, AL 35233

Jefferson County (205) 930-1422

CLAUDE OUIMET M.D.

Family Medicine