Dr. Martha Cochran Wallace is a Birmingham, Alabama 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. Martha Cochran Wallace is 3030 for General Practice Dentistry in Alabama. Her current practice location is 1400 6th Ave S, Birmingham. Patients can reach her at 205-930-1015.
Dr. Martha Cochran 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. Martha Cochran 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. Martha Cochran Wallace
Specialization:
Dentist
Gender:
Female
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
1400 6th Ave S, Birmingham, Alabama, 35233-1502
Phone:
205-930-1015
Fax:
205-930-1448
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:
1639172158
NPI Enumeration Date:
30 May, 2005
NPI Last Update On:
05 Jan, 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. Martha Cochran Wallace are as mentioned below.
License Number
Specialization
State
Status
3030
General Practice Dentistry
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Martha Cochran Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
103678
Medicaid
Alabama
103676
Medicaid
Alabama
1639172158
Medicaid
Alabama
103546
Medicaid
Alabama
510-40457
Other
Alabama
BLUE CROSS BLUE SHIELD
510-40458
Other
Alabama
BLUE CROSS BLUE SHIELD
510-40459
Other
Alabama
BLUE CROSS BLUE SHIELD
103578
Medicaid
Alabama
510-40460
Other
Alabama
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1400 6th Ave S, Birmingham, Alabama
Zip:
35233-1502
Phone Number:
205-930-1015
Fax Number:
205-930-1448
Patients can reach Dr. Martha Cochran Wallace at 1400 6th Ave S, Birmingham, Alabama or can call to book an appointment on 205-930-1015. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.