Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wallace Periodontics, LLC

Organization Dental Clinic/Center · NPI 1164333555

Wallace Periodontics, LLC provides Dental Clinic/Center services in Sumter, South Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Professional Ct
Sumter, SC 29150-1927
Phone: (803) 294-4021
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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 number1164333555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Castle — Director Of Payor Contracts · (912) 732-1504
NPI enumeratedSeptember 15, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026
Mailing address3 Professional Ct, Sumter, SC 29150-1927

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