Active NPI 1972596443 Individual Practitioner Male Practitioner

Dr. Richard J Wallace , DDS

Dentist - General Practice • Centennial, CO

Professional Overview & Biography Verified Profile Summary

Dr. Richard Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in Centennial, CO. Practice services are available at 20921 E SMOKY HILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20921 E Smoky Hill Rd
Suite A

Centennial, CO 80015

Telephone 3036907778

Fax 3036901158

Associated Practice Facility / Clinic

🏢 Eye Care Professional Llc Facility NPI 1326399254

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Centennial, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.5 Yrs

Regional Practice Density

79 Specialists

Practicing in Centennial, CO (2613 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 CO 105208

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. Darren Jones , OD

Optometrist

NPI 1861770075

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2010

Registered at 20921 E SMOKY HILL RD, SUITE A, CENTENNIAL, CO 80015 (Tel: 3036907778)

📍

Updated Business Mailing Address September 15, 2010

Registered at 20921 E SMOKY HILL ROAD, SUITE A, CENTENNIAL, CO 80015 (Tel: 3036907778)

👤

Provider Name / Credentials Updated September 15, 2010

Recorded as RICHARD WALLACE, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2010

Dentist (License #105208 in CO)

🟢

Initial NPI Registration & Enumeration August 30, 2005

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: 1972596443

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2005

Last Update: September 15, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

20921 E Smoky Hill Road, Suite A

Centennial, CO 80015

Phone: 3036907778

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.