Dr. Wallace B Johnson , DDS
Dentist • Mayville, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wallace Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wallace Johnson, DDS was a registered Dentist practicing in Mayville, NY. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at WEST LAKE ROAD until profile deactivation on 2025-09-11.
Practice Location & Contact Primary Location
West Lake Road
Mayville, NY 147570126
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Mayville, NY
Practicing in Mayville, NY (6355 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 11, 2025
NPI status registered as active in NPPES database
Registered at WEST LAKE ROAD, MAYVILLE, NY 147570126 (Tel: 7167537612)
Registered at PO BOX 126, MAYVILLE, NY 147570126 (Tel: 7167537612)
Recorded as WALLACE JOHNSON, D.D.S.
Dentist (License #161107632 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 126
Mayville, NY 147570126
Phone: 7167537612
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