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

Dr. Dedra Desiree Davis-Wallace, DDS

Individual provider Pediatric Dentistry · NPI 1518057934

Dr. Dedra Desiree Davis-Wallace, DDS is a Pediatric Dentistry in Eau Claire, Wisconsin. Practices as a sole proprietor. Licensed in Georgia, Texas and Wisconsin.

Licensed in
GA, TX, WI
In the registry since
2006
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

3131 Stein Blvd
Eau Claire, WI 54701-6978
Phone: (715) 835-7172
Fax: (713) 490-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 1001197-15 (WI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DN012272 (GA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 24891 (TX)

Record details

NPI number1518057934
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 14, 2006
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address3131 Stein Blvd, Eau Claire, WI 54701-6978

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