Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477651545 Individual Practitioner Male Practitioner

Dr. Wallace Wymon Dyke , DDS

Dentist - General Practice • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Dyke, DDS is a registered healthcare professional specializing in Dentist - General Practice in Memphis, TN. Practice services are available at 4515 POPLAR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4515 Poplar Ave
Ste. 406

Memphis, TN 381177503

Telephone 9016839800
Associated Practice Facility / Clinic
🏢 Pph Medical Of Tn, Inc Dba Facility NPI 1366797276

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 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 TN 3243

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

4 Associated Practitioners
Elizabeth Roach , RDH

Dental Hygienist

NPI 1215586268

Registered Dental Hygienist

NPI 1447692264

Doctor of Dental Surgery

Kodi Estep , RDH

Dental Hygienist

NPI 1821647876

Registered Dental Hygienist

NPI 1861041097

Registered Dental Hygienist

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 4515 POPLAR AVE, STE. 406, MEMPHIS, TN 381177503 (Tel: 9016839800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4515 POPLAR AVE, STE. 406, MEMPHIS, TN 381177503 (Tel: 9016839800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE DYKE, DDS

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

Dentist (License #3243 in TN)

🟢
Initial NPI Registration & Enumeration September 20, 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: 1477651545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4515 Poplar Ave, Ste. 406

Memphis, TN 381177503

Phone: 9016839800

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.