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

Dr. Kenneth Gregg Wallis, DDS

Individual provider General Practice Dentistry · NPI 1538350038

Dr. Kenneth Gregg Wallis, DDS is a General Practice Dentistry in Santa Clara, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

265 Crestview Dr
Santa Clara, CA 95050-6503
Phone: (408) 248-6777
Fax: (408) 248-1947
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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 34914 (CA)

Record details

NPI number1538350038
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 8, 2007
Mailing address265 Crestview Dr, Santa Clara, CA 95050-6503

Other providers in Santa Clara