Organization · Type 2 NPI
Wallace Periodontics, LLC
Dental Clinic/Center · Sumter, SC
NPI number
1164333555
Active
Practice location
3 Professional Ct
Sumter, SC 29150-1927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1164333555
Wallace Periodontics, LLC's National Provider Identifier is 1164333555, issued on Sep 15, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sumter, SC. The record was last updated on Sep 15, 2026.