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

Individual provider Dental Hygienist · NPI 1306358312

Cheryl Wallace, RDH is an Undefined Non-Physician Type (Specify) in Phoenix, Arizona. Qualified in 2016, 10 years ago. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2017
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

3830 E Van Buren St
Phoenix, AZ 85008-6920
Phone: (602) 243-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence H009325 (AZ)

Record details

NPI number1306358312
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedOctober 31, 2017
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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