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Active NPI 1821796517 Individual Practitioner Female Practitioner

Dr. Ashley Wallace , DDS

Dentist - General Practice • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ashley Wallace, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Antonio, TX. Practice services are available at 17122 BULVERDE RD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17122 Bulverde Rd Ste 102

San Antonio, TX 782473211

Telephone 2104952000
Associated Practice Facility / Clinic
🏢 Bulverde 7to7 Pllc Facility NPI 1043985070

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.4 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
786 Specialists

Practicing in San Antonio, TX (10570 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: 2023-02-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 39215

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

24 Associated Practitioners

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

Dr. Cristina Gutierrez , DDS

Dentist - General Practice

NPI 1053010231

Doctor of Dental Surgery

Dr. Erin Egan , DDS

Dentist - General Practice

NPI 1053011031

Doctor of Dental Surgery

Jerny Gamboa Fernandez

Student in an Organized Health Care Education/Training Program

NPI 1093641847
NPI 1114617842

Doctor of Dental Medicine

Omar Khan

Dentist - General Practice

NPI 1164268413

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2023

Registered at 17122 BULVERDE RD STE 102, SAN ANTONIO, TX 782473211 (Tel: 2104952000)

📍
Updated Business Mailing Address February 21, 2023

Registered at 21626 STONEWALL PKWY APT 3312, SAN ANTONIO, TX 782561716 (Tel: 4133484847)

👤
Provider Name / Credentials Updated February 21, 2023

Recorded as ASHLEY WALLACE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Dentist (License #39215 in TX)

🟢
Initial NPI Registration & Enumeration February 21, 2023

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: 1821796517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2023
Last Update: February 21, 2023
Sole Proprietor: No

Mailing Address

21626 Stonewall Pkwy Apt 3312

San Antonio, TX 782561716

Phone: 4133484847

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.