Dr. Leigh M Wallace is a Jacksonville, Florida based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Leigh M Wallace is DN10583 for General Practice Dentistry in Florida. Her current practice location is 515 W 6th St, Jacksonville. Patients can reach her at 904-253-1210.
Dr. Leigh M Wallace is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Leigh M 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. Leigh M Wallace
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
515 W 6th St, Jacksonville, Florida, 32206-4324
Phone:
904-253-1210
Fax:
904-253-1956
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:
1932367414
NPI Enumeration Date:
30 May, 2008
NPI Last Update On:
22 Feb, 2013
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. Leigh M Wallace are as mentioned below.
License Number
Specialization
State
Status
DN10583
General Practice Dentistry
Florida
Primary
10583
General Practice Dentistry
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Leigh M Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0017918-00
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
900 University Blvd N, Mc - 75 Jacksonville, Florida
Zip:
32211-9230
Phone Number:
904-253-2062
Fax Number:
904-253-1942
Patients can reach Dr. Leigh M Wallace at 515 W 6th St, Jacksonville, Florida or can call to book an appointment on 904-253-1210. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.