Individual provider · Type 1 NPI
Marc Allan Wallach, DDS
Dentist · St. Louis, MO
Practice location
77 Westport Plz, Suite 251
St. Louis, MO 63146-3107
Fax (314) 275-7680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 13366 (MO) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
3 other providers at this address
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About NPI 1104813831
Marc Allan Wallach, DDS's National Provider Identifier is 1104813831, issued on Sep 27, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.