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

Dr. Charles E Wallace, DDS

Individual provider General Practice Dentistry · NPI 1063584746

Dr. Charles E Wallace, DDS practises General Practice Dentistry in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
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

3221 Eastlake Ave E Ste 130
Seattle, WA 98102-7125 Not confirmed with CMS for 19 years — call before visiting
Phone: (206) 633-5100
Fax: (206) 633-3667
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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 5882 (WA)

Record details

NPI number1063584746
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007

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