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

Wallace Colvin PC

Organization Dental Clinic/Center · NPI 1952853103

Wallace Colvin PC is a Dental Clinic/Center in Mount Clemens, Michigan. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

69 Southbound Gratiot Ave Lowr
Mount Clemens, MI 48043-7600
Phone: (586) 783-7000
Fax: (586) 783-7003
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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

Record details

NPI number1952853103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Colvin — Dentist · (586) 783-7000
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016
Mailing address69 Southbound Gratiot Ave Lowr, Mount Clemens, MI 48043-7600