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

Dr. Marshall Lynn Wallace, DMD

Individual provider Periodontics · NPI 1124092697

Dr. Marshall Lynn Wallace, DMD is a Periodontics in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3 Professional Ct
Sumter, SC 29150-1927
Phone: (803) 469-9461
Fax: (803) 469-9023
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2839/363 (SC)

Record details

NPI number1124092697
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3 Professional Ct, Sumter, SC 29150-1927