Individual provider · Type 1 NPI
Marshall Lynn Wallace, DMD
Periodontics · Sumter, SC
NPI number
1124092697
Active
Practice location
3 Professional Ct
Sumter, SC 29150-1927
Fax (803) 469-9023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 2839/363 (SC) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1124092697
Marshall Lynn Wallace, DMD's National Provider Identifier is 1124092697, issued on Feb 14, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Sumter, SC. The record was last updated on Jul 13, 2026.