Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215722509 Individual Practitioner Male Practitioner

Oscar Russell Wallace

Dentist - General Practice • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Oscar Wallace is a registered healthcare professional specializing in Dentist - General Practice in Cumming, GA. Practice services are available at 312 TRIBBLE GAP RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

312 Tribble Gap Rd

Cumming, GA 300402440

Telephone 7708871399
Associated Practice Facility / Clinic
🏢 Forsyth Dental Partners, Llc Facility NPI 1235965526

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cumming, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
63 Specialists

Practicing in Cumming, GA (3302 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

CMS Verified: 2025-09-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123883

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

5 Associated Practitioners
Dr. Melissa Durand , DMD

Dentist - General Practice

NPI 1063576981

Doctor of Dental Medicine

Dr. Robert Mcguinn , DMD

Dentist - General Practice

NPI 1194744243

Doctor of Dental Medicine

Dr. Ryan Driesse , DDS

Dentist - General Practice

NPI 1477122745

Doctor of Dental Surgery

NPI 1881618072

Doctor of Dental Surgery

Dr. Brian Carpenter , DDS

Dentist - General Practice

NPI 1982701843

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) September 17, 2025

Dentist (License #DN123883 in GA)

NPI Profile Active April 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2025

Registered at 312 TRIBBLE GAP RD, CUMMING, GA 300402440 (Tel: 7708871399)

📍
Updated Business Mailing Address April 09, 2025

Registered at 2545 PINE BLUFF DR, DECATUR, GA 300334927 (Tel: 4047230281)

👤
Provider Name / Credentials Updated April 09, 2025

Recorded as OSCAR WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 09, 2025

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: 1215722509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2025
Last Update: September 17, 2025
Sole Proprietor: No

Mailing Address

2545 Pine Bluff Dr

Decatur, GA 300334927

Phone: 4047230281

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.