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

Dr. Leigh M Wallace, DDS

Individual provider General Practice Dentistry · NPI 1932367414

Dr. Leigh M Wallace, DDS is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
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

515 W 6th St
Jacksonville, FL 32206-4324
Phone: (904) 253-1210
Fax: (904) 253-1956
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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 DN10583 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10583 (FL)

Record details

NPI number1932367414
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2008
Last updated in NPPESFebruary 22, 2013
Mailing address900 University Blvd N, Mc - 75, Jacksonville, FL 32211-9230

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