Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

C M Wallace DDS PA

Q: What type of organization is C M Wallace DDS PA?

C M Wallace DDS PA is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

General Practice Dentistry in Bonita Springs, FL · enumerated 2007 · authorized official Charles Wallace, Owner President.

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

National Provider Identifier

1578612925

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name C M Wallace DDS PA

Practice address 8951 Bonita Beach Rd, Bonita Springs, FL, 34135

Phone (239) 992-8555

Fax (239) 992-8644

Enumeration date Jan 8, 2007

Last updated in NPPES Sep 29, 2010

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License DN14024 (FL) Primary

Authorized official

Name Charles Wallace

Title Owner President

Phone (239) 643-4746

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is C M Wallace DDS PA?

C M Wallace DDS PA is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-29.