Dr. Kevin Bruce Wallace is a Leesburg, Florida based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kevin Bruce Wallace is
DN15774 for Dentistry in Florida. His current practice location is
949 N 14th St, Leesburg. Patients can reach him at
352-816-0855.
Dr. Kevin Bruce Wallace is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kevin Bruce Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kevin Bruce Wallace |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 949 N 14th St, Leesburg,
Florida, 34748-3838 |
| Phone: | 352-816-0855 |
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 are as mentioned below.
| NPI Number: | 1316960131 |
| NPI Enumeration Date: | 25 Jul, 2006 |
| NPI Last Update On: | 02 Nov, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Bruce Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| DN15774 | Dentistry | Florida | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1107 S.e. 24 Terrace,
Ocala, Florida |
| Zip: | 34471 |
| Phone Number: | 352-867-9890 |
| Fax Number: | 352-622-7616 |
Patients can reach Dr. Kevin Bruce Wallace at
949 N 14th St, Leesburg, Florida or can
call to book an appointment on 352-816-0855.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.