MARK A WALLACE, D.D.S., L.L.C.
NPI 1891985974
Dentist - General Practice in Rockville, MD

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since July 26, 2007

1901 RESEARCH BLVD, SUITE 200, ROCKVILLE, MD 20850(301) 309-0707(301) 309-8169 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark A Wallace, D.d.s., L.l.c. NPPES

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

MARK A WALLACE, D.D.S., L.L.C. (NPI 1891985974) is a healthcare organization registered as a general practice in Rockville, Maryland and active in the NPI registry since July 2007. The organization lists Mark A Wallace, Dentist, as its authorized official.

NPPES Registry Identity

NPI1891985974

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMARK A WALLACE, D.D.S., L.L.C.

Location Address1901 RESEARCH BLVD, SUITE 200Rockville, MD 20850-3164

Mailing Address1901 Research Blvd, Suite 200Rockville, MD 20850-3164 · (301) 309-0707 · Fax (301) 309-8169

Phone(301) 309-0707

Fax(301) 309-8169

Organization SubpartNo

Authorized OfficialMark A WallaceDentist · (301) 309-0707

Enumeration DateJuly 26, 2007

✔ NPI 1891985974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 5043

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.

1901 RESEARCH BLVD, Rockville, MD 20850

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP