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

Oscar Russell Wallace

Individual provider General Practice Dentistry · NPI 1215722509

Oscar Russell Wallace is a General Practice Dentistry in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

312 Tribble Gap Rd
Cumming, GA 30040-2440
Phone: (770) 887-1399
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN123883 (GA)

Record details

NPI number1215722509
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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