WALLACE COLVIN PC
NPI 1952853103
Clinic/Center - Dental in Mount Clemens, MI

Q: What is Wallace Colvin PC's NPI number?

The NPI number for Wallace Colvin PC is 1952853103. It was assigned to this organization in the NPPES registry on November 3, 2016.

Q: What is Wallace Colvin PC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wallace Colvin PC was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 03, 2016

69 SOUTHBOUND GRATIOT AVE LOWR, MOUNT CLEMENS, MI 48043(586) 783-7000(586) 783-7003 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wallace Colvin Pc NPPES

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

WALLACE COLVIN PC (NPI 1952853103) is a healthcare organization registered as a dental in Mount Clemens, Michigan and active in the NPI registry since November 2016. The organization lists Wallace S Colvin, Dentist, as its authorized official.

NPPES Registry Identity

NPI1952853103

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameWALLACE COLVIN PC

Location Address69 SOUTHBOUND GRATIOT AVE LOWRMount Clemens, MI 48043-7600

Mailing Address69 Southbound Gratiot Ave LowrMount Clemens, MI 48043-7600 · (586) 783-7000 · Fax (586) 783-7003

Phone(586) 783-7000

Fax(586) 783-7003

Organization SubpartNo

Authorized OfficialWallace S ColvinDentist · (586) 783-7000

Enumeration DateNovember 3, 2016

✔ NPI 1952853103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

69 SOUTHBOUND GRATIOT AVE LOWR, Mount Clemens, MI 48043

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

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 Colvin PC's NPI number?

The NPI number for Wallace Colvin PC is 1952853103. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Wallace Colvin PC located?

Wallace Colvin PC is located at 69 Southbound Gratiot Ave Lowr, Mount Clemens, MI 48043. The listed phone number is (586) 783-7000.

What is Wallace Colvin PC's specialty?

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

What insurance does Wallace Colvin PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Wallace Colvin PC 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 Wallace Colvin PC was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.