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WALLACE C LAIL DDS
NPI 1821263831
Dentist - General Practice in Duluth, GA

Active since April 30, 2008PECOS Enrolled
3415 E LAWRENCEVILLE ST, DULUTH, GA 30096(770) 476-5227 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace C Lail Dds NPPES

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

WALLACE C LAIL DDS (NPI 1821263831) is an individual general practice provider in Duluth, Georgia, licensed in Georgia (6981) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821263831
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWALLACE C LAILCredential: DDS
Location Address3415 E LAWRENCEVILLE STDuluth, GA 30096-3354
Mailing Address3415 E Lawrenceville StDuluth, GA 30096-3354 · (770) 476-5227
Phone(770) 476-5227
Sole ProprietorNo
Enumeration DateApril 30, 2008
✔ NPI 1821263831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 6981
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.
3415 E LAWRENCEVILLE ST, Duluth, GA 30096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace C Lail Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

SWL DENTAL
Clinic/Center (Dental)
3415 E LAWRENCEVILLE ST
DULUTH, GA 30096
Gwinnett County (770) 476-5227

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 Wallace Lail's NPI number?

The NPI number for Wallace Lail is 1821263831. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Wallace Lail located?

Wallace Lail practices at 3415 E Lawrenceville St, Duluth, GA 30096. The listed phone number is (770) 476-5227.

What is Wallace Lail's specialty?

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

Is Wallace Lail enrolled in Medicare?

Yes. Wallace Lail is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wallace Lail was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.