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

Leslie Suzanne Wallace, DMD

Individual provider Pediatric Dentistry · NPI 1629301833

Leslie Suzanne Wallace, DMD is a Pediatric Dentistry in Lebanon, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2009
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

103 Physicians Way Ste 150
Lebanon, TN 37090-4104
Phone: (859) 948-0386
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 8973 (TN)

Record details

NPI number1629301833
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 8, 2009
Last updated in NPPESJanuary 8, 2014
Mailing address179 Cobbler Cir, Hendersonville, TN 37075-3963

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