DR. MARK SPANGLER WALLACE DDS
NPI 1669467213
Dentist - General Practice in Salt Lake City, UT

Q: What is Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1669467213. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Mark Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Wallace was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 20, 2005

168 N 1950 W STE 202, SALT LAKE CITY, UT 84116(801) 715-3400 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Spangler Wallace Dds NPPES

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

DR. MARK SPANGLER WALLACE DDS (NPI 1669467213) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (142818-9921) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1669467213

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK SPANGLER WALLACECredential: DDS

Location Address168 N 1950 W STE 202Salt Lake City, UT 84116-3007

Mailing Address168 N 1950 W Ste 202Salt Lake City, UT 84116-3007 · (801) 715-3400

Phone(801) 715-3400

Sole ProprietorNo

Enumeration DateSeptember 20, 2005

Last NPPES UpdateApril 6, 2020

NPPES CertifiedApril 6, 2020

✔ NPI 1669467213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 142818-9921

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.

168 N 1950 W STE 202, Salt Lake City, UT 84116

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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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1669467213. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Mark Wallace located?

Mark Wallace practices at 168 N 1950 W Ste 202, Salt Lake City, UT 84116. The listed phone number is (801) 715-3400.

What is Mark 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 Mark Wallace was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.