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

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: November 08, 2026.

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
Open in Google Maps ↗

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.

LINDSAY QUINN ADLER MA, RD
Dietitian, Registered
1400 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 213-4616
DR. SUSAN ISKANDRIAN BUCKINGHAM M.D.
Internal Medicine (Hospice and Palliative Medicine)
1400 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-9110
DR. GRETA P ISKANDRIAN M.D.
Pediatrics
1400 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-9110
BIRMINGHAM DIV-BUREAU OF CLINICAL LABS
Clinical Medical Laboratory
1400 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-1388
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
KAREN SULLIVAN CRNP
Nurse Practitioner
1400 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 930-1334
MRS. JENNIFER M BARNES RN
Registered Nurse
1400 6TH AVE S, FOURTH FLOOR
BIRMINGHAM, AL 35233
Jefferson County (205) 558-2142
MARY BETH GARVEY CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1400 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-9110

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 Martha Wallace's NPI number?

The NPI number for Martha Wallace is 1639172158. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Where is Martha Wallace located?

Martha Wallace practices at 1400 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 930-1015.

What is Martha Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Martha Wallace was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.