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Mrs. Andrea L Wallace, D.M.D.

General Practice Dentistry in Emmett, ID · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871608604

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Registry record

Entity type Individual (Type 1)
Name Mrs. Andrea L Wallace
Credential D.M.D.
Sex Female
Practice address 2003 S Plaza Rd, Emmett, ID, 83617
Fax (208) 365-6231
Enumeration date Aug 20, 2006
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License D-3656 (ID) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier Type State Issuer
8071026 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Andrea Wallace's NPI record?
Cross-check NPI 1871608604 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1871608604 active?
Yes, as of the latest NPPES snapshot, NPI 1871608604 is active (record last updated 2007-07-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.