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 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.
Comments/ Reviews:
Read all the reviews posted for Dr. Martha Cochran Wallace below. You may also share your own experience with Dr. Martha Cochran Wallace. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.