Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770932808 Individual Practitioner Male Practitioner

Dr. Dustin Guy Wallace , DDS

Dentist - General Practice • Pine Bluff, AR

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pine Bluff, AR. Practice services are available at 2801 S OLIVE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2801 S Olive St

Pine Bluff, AR 716035433

Telephone 8706634180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pine Bluff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Pine Bluff, AR (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 4095

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 32331

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Adetola Adeniyi , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1598217069

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Dentist (License #32331 in TX)

NPI Profile Active October 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2016

Registered at 2801 S OLIVE ST, PINE BLUFF, AR 716035433 (Tel: 8706634180)

📍
Updated Business Mailing Address October 26, 2016

Registered at 1165 ARROWHEAD RD, PINE BLUFF, AR 716039443 (Tel: 8705430529)

👤
Provider Name / Credentials Updated October 26, 2016

Recorded as DUSTIN WALLACE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2016

Dentist (License #4095 in AR)

🟢
Initial NPI Registration & Enumeration June 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770932808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2016
Last Update: March 20, 2018
Sole Proprietor: Yes

Mailing Address

1165 Arrowhead Rd

Pine Bluff, AR 716039443

Phone: 8705430529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.