Michael J. Wallace D.D.S.
Michael J. Wallace D.D.S. is a healthcare organization registered as General Practice Dentistry in Edmond, OK, holding Type 2 (organization) NPI 1669519559 since 2007. The authorized official on file is Michael Wallace, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669519559 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Michael J. Wallace D.D.S. |
| Practice address | 1600 E 19TH ST, SUITE 301, Edmond, OK, 73013 |
| Phone | 4053400411 |
| Fax | 4053403217 |
| Enumeration date | 2007-01-31 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Michael Wallace |
|---|---|
| Title | Dentist |
| Phone | 4053400411 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 5801 | OK |
Copy-ready billing details
Provider: Michael J. Wallace D.D.S. NPI: 1669519559 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1600 E 19TH ST, SUITE 301, Edmond, OK, 73013
Verify this record
Cross-check NPI 1669519559 against the authoritative CMS record: view Michael J. Wallace D.D.S. on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Michael J. Wallace D.D.S.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.