C M Wallace Dds Pa is a Dental Clinic in Bonita Springs, Florida. It is located at 8951 Bonita Beach Rd, Bonita Springs, FL and its contact number is 239-992-8555. The authorized person for C M Wallace Dds Pa is Dr. Charles Macon Wallace Iii
who is Owner President of the clinic and their contact number is 239-643-4746. The primary license number for C M Wallace Dds Pa is DN14024 (General Practice) in Florida.
C M Wallace Dds Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
C M Wallace Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | C M Wallace Dds Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 8951 Bonita Beach Rd, Bonita Springs,
Florida, 34135-4201 |
| Phone: | 239-992-8555 |
| Fax: | 239-992-8644 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Charles Macon Wallace Iii |
| Position: | Owner President |
| Contact Number: | 239-643-4746 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for C M Wallace Dds Pa clinic are as mentioned below.
| NPI Number: | 1578612925 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 29 Sep, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for C M Wallace Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DN14024 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | C M Wallace Dds Pa
8951 Bonita Beach Rd,
Bonita Springs, Florida |
| Zip: | 34135-4201 |
| Phone Number: | 239-992-8555 |
| Fax Number: | 239-992-8644 |
Patients can reach C M Wallace Dds Pa at
8951 Bonita Beach Rd, Bonita Springs, Florida or can
call to book an appointment on 239-992-8555.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.