Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew H Wallengren, DDS, PA

Individual provider General Practice Dentistry · NPI 1154400877

Dr. Matthew H Wallengren, DDS, PA is a General Practice Dentistry in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
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.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1421 Clarkview Rd Ste 120
Baltimore, MD 21209-2187
Phone: (410) 431-1868
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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 12462 (MD)

Record details

NPI number1154400877
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PA
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

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