MRS. ANDREA L WALLACE D.M.D.
NPI 1871608604
Dentist - General Practice in Emmett, ID

Q: What is Andrea Wallace's NPI number?

The NPI number for Andrea Wallace is 1871608604. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Andrea 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 Andrea Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 20, 2006

2003 S PLAZA RD, EMMETT, ID 83617(208) 365-3534(208) 365-6231 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Andrea L Wallace D.m.d. NPPES

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

MRS. ANDREA L WALLACE D.M.D. (NPI 1871608604) is an individual general practice provider in Emmett, Idaho, licensed in Idaho (D-3656) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1871608604

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMRS. ANDREA L WALLACECredential: D.M.D.

Location Address2003 S PLAZA RDEmmett, ID 83617-9180

Mailing Address2003 S Plaza RdEmmett, ID 83617-9180 · (208) 365-3534 · Fax (208) 365-6231

Phone(208) 365-3534

Fax(208) 365-6231

Sole ProprietorNo

Enumeration DateAugust 20, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1871608604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D-3656

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.

2003 S PLAZA RD, Emmett, ID 83617

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Other Identifiers 1

Medicaid8071026ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JIMMY JOE ZARYBNISKY DMD

Dentist

2003 S PLAZA RD
EMMETT, ID 83617

Gem County (208) 365-3534

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 Andrea Wallace's NPI number?

The NPI number for Andrea Wallace is 1871608604. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Andrea Wallace located?

Andrea Wallace practices at 2003 S Plaza Rd, Emmett, ID 83617. The listed phone number is (208) 365-3534.

What is Andrea Wallace's specialty?

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

What insurance does Andrea Wallace accept?

Health plans from Blue Cross and Blue Shield of Alabama list Andrea 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 Andrea Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.