Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert R Wallace DMD PA

Organization Dental Clinic/Center · NPI 1881614253

Robert R Wallace DMD PA is a Dental Clinic/Center in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 Creekview Ct
Greenville, SC 29615-4800
Phone: (864) 676-0825
Fax: (864) 676-9859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 1774 (SC)

Record details

NPI number1881614253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Wallace — President · (864) 676-0825
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address40 Creekview Ct, Greenville, SC 29615-4800

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