Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194429597 Individual Practitioner Male Practitioner

Mckenzie Wallace , STUDENT

Dentist - General Practice • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Mckenzie Wallace, STUDENT is a registered healthcare professional specializing in Dentist - General Practice in Saint Paul, MN. Practice services are available at 1026 7TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1026 7th St W

Saint Paul, MN 551023828

Telephone 6517589500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
122 Specialists

Practicing in Saint Paul, MN (2262 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: 2023-05-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14879

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Dr. Renee Clark , DNP, CNM

Advanced Practice Midwife

NPI 1003211251

Doctor of Nursing Practice, Certified Nurse Midwife

Chelsea Johnson , PA-C

Physician Assistant

NPI 1073152666

Physician Assistant (Certified)

Alessandra Orthey , PA

Physician Assistant

NPI 1083296123

Physician Assistant

Lauren Lehmkuhl , FNP-C

Nurse Practitioner - Family

NPI 1134683907

Family Nurse Practitioner (Certified)

Concepter Gekonge , APRN, FNP

Nurse Practitioner - Family

NPI 1154085777

Advanced Practice Registered Nurse, Family Nurse Practitioner

Sonja Batalden , CNM

Advanced Practice Midwife

NPI 1255469276

Certified Nurse Midwife

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2023

Registered at 1026 7TH ST W, SAINT PAUL, MN 551023828 (Tel: 6517589500)

📍
Updated Business Mailing Address March 29, 2023

Registered at 1026 7TH ST W, SAINT PAUL, MN 551023828 (Tel: 6517589500)

👤
Provider Name / Credentials Updated March 29, 2023

Recorded as MCKENZIE WALLACE, STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mckenzie Wallace. Be the first to share your experience!

Sign in to leave a review for Mckenzie Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194429597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: May 25, 2023
Sole Proprietor: No

Mailing Address

1026 7th St W

Saint Paul, MN 551023828

Phone: 6517589500

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.