Mary C Wallace is a Tyler, Texas 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 Mary C Wallace is 41468 for General Practice Dentistry in Texas. Her current practice location is 5540 Old Jacksonville Hwy, Tyler. Patients can reach her at 903-597-2121.
Mary C 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:
Mary C 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:
Mary C Wallace
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
5540 Old Jacksonville Hwy, Tyler, Texas, 75703-3378
Phone:
903-597-2121
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:
1245127331
NPI Enumeration Date:
20 Jun, 2025
NPI Last Update On:
20 Jun, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary C Wallace are as mentioned below.
License Number
Specialization
State
Status
41468
General Practice Dentistry
Texas
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:
4055 Hogan Dr Apt 3707, Tyler, Texas
Zip:
75709-6964
Phone Number:
903-805-9767
Patients can reach Mary C Wallace at 5540 Old Jacksonville Hwy, Tyler, Texas or can call to book an appointment on 903-597-2121. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.