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

Wallis Dental LLC

Organization Dental Clinic/Center · NPI 1831867985

Wallis Dental LLC is a Dental Clinic/Center in Lexington, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021
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

1 Wallis Ct Ste 4
Lexington, MA 02421-5416
Phone: (781) 862-6565
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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 number1831867985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Min Jung Kim — Dr. · (781) 862-6565
NPI enumeratedSeptember 2, 2021
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address1 Wallis Ct Ste 4, Lexington, MA 02421-5416

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