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

Wallace C. Carrillo-Medina, DMD

Individual provider General Practice Dentistry · NPI 1558649947

Wallace C. Carrillo-Medina, DMD is a General Practice Dentistry in High Point, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

101 Northpoint Ave
High Point, NC 27262-7719
Phone: (336) 883-6450
Fax: (336) 883-6451
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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 9900 (NC)

Record details

NPI number1558649947
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 2, 2011
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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