Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063559748 Individual Practitioner Male Practitioner

Dr. George Marvin Wallace , DDS

Dentist - General Practice • High Point, NC

Professional Overview & Biography Verified Profile Summary

Dr. George Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in High Point, NC. Practice services are available at 710 N ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

710 N Elm St

High Point, NC 272623918

Telephone 3368824181
Fax 3364642166
Associated Practice Facility / Clinic
🏢 Regional Physicians Neuro Facility NPI 1972535425

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in High Point, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
42 Specialists

Practicing in High Point, NC (4047 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 NC 3016

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8998840 (NC)
Commercial Insurance / Payer ID State License #
3016 (NC)
Commercial Insurance / Payer ID Tax Id #
56-0814633 (NC)
Commercial Insurance / Payer ID Npi #
1063559748 (NC)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1043702384

Doctor of Dental Medicine

NPI 1316439656

Doctor of Dental Medicine

Garrett Willard

Dentist - General Practice

NPI 1376233049

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2017

Registered at 710 N ELM ST, HIGH POINT, NC 272623918 (Tel: 3368824181)

📍
Updated Business Mailing Address April 25, 2017

Registered at 710 N ELM ST, HIGH POINT, NC 272623918 (Tel: 3368824181)

👤
Provider Name / Credentials Updated April 25, 2017

Recorded as GEORGE WALLACE, D. D. S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Dentist (License #3016 in NC)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 302 LINDSAY ST, SUITE E, HIGH POINT, NC 272624961 (Tel: 3368824181)

📍
Updated Business Mailing Address July 09, 2007

Registered at 302 LINDSAY ST, SUITE E, HIGH POINT, NC 272624961 (Tel: 3368824181)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GEORGE WALLACE, D. D. A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #3016 in NC)

🟢
Initial NPI Registration & Enumeration January 31, 2007

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: 1063559748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: April 25, 2017
Sole Proprietor: Yes

Mailing Address

710 N Elm St

High Point, NC 272623918

Phone: 3368824181

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.