GLYNIS DYNEL WALLACE D.M.D.
NPI 1669779732
Dentist - General Practice in San Pedro, CA

Q: What is Glynis Wallace's NPI number?

The NPI number for Glynis Wallace is 1669779732. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Q: What is Glynis 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 Glynis Wallace was last updated on February 24, 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.

Active since February 24, 2011

779 W 20TH ST APT 7, SAN PEDRO, CA 90731(562) 221-1852 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Glynis Dynel Wallace D.m.d. NPPES

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

GLYNIS DYNEL WALLACE D.M.D. (NPI 1669779732) is an individual general practice provider in San Pedro, California, licensed in California (37179) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1669779732

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameGLYNIS DYNEL WALLACECredential: D.M.D.

Location Address779 W 20TH ST APT 7San Pedro, CA 90731-5359

Mailing Address779 W 20th St Apt 7San Pedro, CA 90731-5359 · (562) 221-1852

Phone(562) 221-1852

Sole ProprietorNo

Enumeration DateFebruary 24, 2011

✔ NPI 1669779732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 37179

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.

779 W 20TH ST APT 7, San Pedro, CA 90731

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Accepted Insurance

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

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 Glynis Wallace's NPI number?

The NPI number for Glynis Wallace is 1669779732. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Glynis Wallace located?

Glynis Wallace practices at 779 W 20th St Apt 7, San Pedro, CA 90731. The listed phone number is (562) 221-1852.

What is Glynis Wallace's specialty?

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

What insurance does Glynis Wallace accept?

Health plans from UnitedHealthcare list Glynis Wallace 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 Glynis Wallace was last updated on February 24, 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.