Mark Wallace, DDS

ActiveIndividual ProviderDentistry
NPI issued: September 20, 2005

Quick Facts

NPI Number
1669467213
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(801) 715-3400
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1669467213)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 20, 2005)
Data source: CMS NPPES

Provider Overview

MARK WALLACE, DDS is a Dentistry provider based in Salt Lake City, UT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1669467213
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateSeptember 20, 2005

Practice Location

CitySalt Lake City
StateUT
ZIP Code84116-3007
Phone(801) 715-3400

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84116-3007
Phone(801) 715-3400
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1669467213 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1669467213for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1669467213 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Mark Wallace's NPI number?
Mark Wallace's NPI number is 1669467213, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Wallace's NPI currently active?
Yes, Mark Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Wallace specialize in?
Mark Wallace specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Mark Wallace practice?
Mark Wallace practices in Salt Lake City, UT 84116-3007.
When was Mark Wallace's NPI issued?
Mark Wallace's NPI was issued on September 20, 2005.
What is Mark Wallace's provider type?
Mark Wallace is registered as an Individual Provider under CMS NPI Type 1.