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

Jessica Fae Wallace

Individual provider Dental Hygienist · NPI 1154202901

Jessica Fae Wallace is a Dental Hygienist in Rolling Meadows, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

2200 Flicker Ln
Rolling Meadows, IL 60008-1317
Phone: (815) 830-4739
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 002017626 (IL)

Record details

NPI number1154202901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025