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

C.m. Wallace, DDS

Individual provider General Practice Dentistry · NPI 1487085072

C.m. Wallace, DDS is a General Practice Dentistry in Bonita Springs, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

8951 Bonita Beach Rd SE Ste 206
Bonita Springs, FL 34135-4202
Phone: (239) 992-8555
Fax: (239) 992-8644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN14024 (FL)

Record details

NPI number1487085072
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 6, 2013
Last updated in NPPESDecember 6, 2013

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