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DR. DUSTIN GUY WALLACE DDS
NPI 1770932808
Dentist - General Practice in Pine Bluff, AR

Active since June 09, 2016
2801 S OLIVE ST, PINE BLUFF, AR 71603(870) 663-4180 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2018, Oct 26, 2016 (2 updates tracked since 2016).

About Dr. Dustin Guy Wallace Dds NPPES

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

DR. DUSTIN GUY WALLACE DDS (NPI 1770932808) is an individual general practice provider in Pine Bluff, Arkansas, licensed in Arkansas (4095) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1770932808
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DUSTIN GUY WALLACECredential: DDS
Location Address2801 S OLIVE STPine Bluff, AR 71603-5433
Mailing Address1165 Arrowhead RdPine Bluff, AR 71603-9443 · (870) 543-0529
Phone(870) 663-4180
Sole ProprietorYes
Enumeration DateJune 9, 2016
Last NPPES UpdateMarch 20, 20182 updates tracked since enumeration
✔ NPI 1770932808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in AR · 4095✔ Licensed in TX · 32331
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.
2801 S OLIVE ST, Pine Bluff, AR 71603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHERINE D HORNBECK P.T.
Physical Therapist
2801 S OLIVE ST, SUITE 9D
PINE BLUFF, AR 71603
Jefferson County (870) 541-0003
BRAD BRYAN,DMD, PA
Dentist (General Practice)
2801 S OLIVE ST
PINE BLUFF, AR 71603
Jefferson County (770) 916-9000
AMANDA MCCARTY HARRIS D.P.T.
Physical Therapist
2801 S OLIVE ST, SUITE 9D
PINE BLUFF, AR 71603
Jefferson County (870) 541-0003
SOUTHEAST ARKANSAS PHYSICAL THERAPY, INC.
Physical Therapist
2801 S OLIVE ST, SUITE 9D
PINE BLUFF, AR 71603
Jefferson County (870) 541-0003
BURRIS-DAKE ORAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
2801 S OLIVE ST, SUITE 33B
PINE BLUFF, AR 71603
Jefferson County (870) 534-2131
MR. STEVE R HORNBECK P.T.
Physical Therapist
2801 S OLIVE ST, SUITE 9D
PINE BLUFF, AR 71603
Jefferson County (870) 541-0003
KIMBERLY M SPIVEY P.T.
Physical Therapist
2801 S OLIVE ST, SUITE 9D
PINE BLUFF, AR 71603
Jefferson County (870) 541-0003
SAMUEL COLE CHAFFIN MSPT
Physical Therapist
2801 S OLIVE ST, SUITE 9D
PINE BLUFF, AR 71603
Jefferson County (870) 541-0003

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 Dustin Wallace's NPI number?

The NPI number for Dustin Wallace is 1770932808. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Dustin Wallace located?

Dustin Wallace practices at 2801 S Olive St, Pine Bluff, AR 71603. The listed phone number is (870) 663-4180.

What is Dustin Wallace's specialty?

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

What insurance does Dustin Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 17 other insurers list Dustin 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 Dustin Wallace was last updated on March 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.