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WALLIS DENTAL LLC
NPI 1831867985
Clinic/Center - Dental in Lexington, MA

Active since September 02, 2021
1 WALLIS CT STE 4, LEXINGTON, MA 02421(781) 862-6565 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wallis Dental Llc NPPES

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

WALLIS DENTAL LLC (NPI 1831867985) is a healthcare organization registered as a dental in Lexington, Massachusetts and active in the NPI registry since September 2021. The organization lists Min Jung Kim, Dr., as its authorized official.

NPPES Registry Identity

NPI1831867985
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWALLIS DENTAL LLC
Location Address1 WALLIS CT STE 4Lexington, MA 02421-5416
Mailing Address1 Wallis Ct Ste 4Lexington, MA 02421-5416 · (781) 862-6565
Phone(781) 862-6565
Organization SubpartNo
Authorized OfficialMin Jung KimDr. · (781) 862-6565
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1831867985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1 WALLIS CT STE 4, Lexington, MA 02421
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Other Providers at the Same Location NPPES

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

YAYA DENTAL LEXINGTON PLLC
Clinic/Center (Dental)
1 WALLIS CT STE 4
LEXINGTON, MA 02421
Middlesex County (781) 862-6565

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 Wallis Dental LLC's NPI number?

The NPI number for Wallis Dental LLC is 1831867985. It was assigned to this organization in the NPPES registry on September 2, 2021.

Where is Wallis Dental LLC located?

Wallis Dental LLC is located at 1 Wallis Ct Ste 4, Lexington, MA 02421. The listed phone number is (781) 862-6565.

What is Wallis Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wallis Dental LLC was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.