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

Dr. Marc Allan Wallach, DDS

Individual provider Dentist · NPI 1104813831

Dr. Marc Allan Wallach, DDS is a Dentist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
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

77 Westport Plz Ste 251
Saint Louis, MO 63146-3107
Phone: (314) 434-7300
Fax: (314) 275-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13366 (MO)

Record details

NPI number1104813831
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESJuly 13, 2026

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