Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679585038 Individual Practitioner Male Practitioner

Dr. Michael Patrick Wallace , DMD

Dentist • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wallace, DMD is a registered healthcare professional specializing in Dentist in Saint Louis, MO. Practice services are available at 9225 MANCHESTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9225 Manchester Rd
Suite 101

Saint Louis, MO 631442640

Telephone 3149680003
Fax 3149680383
Associated Practice Facility / Clinic
🏢 Michael P. Wallace D.m.d., Pc Facility NPI 1275770513

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
230 Specialists

Practicing in Saint Louis, MO (1740 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 13992

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1356401459

Doctor of Dental Medicine

Dr. Daniel Dunbar , DMD, MS

Dentist - Endodontics

NPI 1578723292

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9225 MANCHESTER RD, SUITE 101, SAINT LOUIS, MO 631442640 (Tel: 3149680003)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9225 MANCHESTER RD, SUITE 101, SAINT LOUIS, MO 631442640 (Tel: 3149680003)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL WALLACE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13992 in MO)

🟢
Initial NPI Registration & Enumeration August 13, 2006

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: 1679585038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

9225 Manchester Rd, Suite 101

Saint Louis, MO 631442640

Phone: 3149680003

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.