Individual provider · Type 1 NPI

Cheryl Wallace, RDH

Dental Hygienist · Phoenix, AZ

NPI number 1306358312 Active

Practice location

3830 E Van Buren St
Phoenix, AZ 85008-6920

Call (602) 243-7277 Map

Mailing address

3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH009325 (AZ)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1306358312

Cheryl Wallace, RDH's National Provider Identifier is 1306358312, issued on Oct 31, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 7, 2026.