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

Dr. Ryan Christopher Wallace, DDS

Individual provider Prosthodontics · NPI 1477875458

Dr. Ryan Christopher Wallace, DDS is a Prosthodontics in Los Angeles, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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.

See every abbreviation used in this directory →

Practice location Address checks out

12300 Wilshire Blvd Ste 400
Los Angeles, CA 90025-1020
Phone: (310) 597-0715
Fax: (310) 458-8804
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 57224 (CA)

Record details

NPI number1477875458
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 18, 2010
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address12300 Wilshire Blvd Ste 400, Los Angeles, CA 90025-1020

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