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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.