Mckenzie Wallace is a Saint Paul, Minnesota based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mckenzie Wallace is
D14879 for General Practice Dentistry in Minnesota. His current practice location is
1026 7th St W, Saint Paul. Patients can reach him at
651-758-9500.
Mckenzie 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:
Mckenzie 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: | Mckenzie Wallace |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | STUDENT |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1026 7th St W, Saint Paul,
Minnesota, 55102-3828 |
| Phone: | 651-758-9500 |
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: | 1194429597 |
| NPI Enumeration Date: | 29 Mar, 2023 |
| NPI Last Update On: | 25 May, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mckenzie Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| D14879 | General Practice Dentistry | Minnesota | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1026 7th St W,
Saint Paul, Minnesota |
| Zip: | 55102-3828 |
| Phone Number: | 651-758-9500 |
Patients can reach Mckenzie Wallace at
1026 7th St W, Saint Paul, Minnesota or can
call to book an appointment on 651-758-9500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.