Individual provider · Type 1 NPI

McKenzie Wallace, STUDENT

General Practice Dentistry · St. Paul, MN

NPI number 1194429597 Active

Practice location

1026 7th St W
St. Paul, MN 55102-3828

Call (651) 758-9500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001XD14879 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

36 other providers at this address

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About NPI 1194429597

McKenzie Wallace, STUDENT's National Provider Identifier is 1194429597, issued on Mar 29, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Paul, MN. The record was last updated on May 25, 2023.