Mrs. Andrea L Wallace is a Emmett, Idaho 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 Mrs. Andrea L Wallace is
D-3656 for General Practice Dentistry in Idaho. Her current practice location is
2003 S Plaza Rd, Emmett. Patients can reach her at
208-365-3534.
Mrs. Andrea L 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:
Mrs. Andrea L 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: | Mrs. Andrea L Wallace |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2003 S Plaza Rd, Emmett,
Idaho, 83617-9180 |
| Phone: | 208-365-3534 |
| Fax: | 208-365-6231 |
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: | 1871608604 |
| NPI Enumeration Date: | 20 Aug, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Andrea L Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| D-3656 | General Practice Dentistry | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Andrea L Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8071026 | Medicaid | Idaho | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2003 S Plaza Rd,
Emmett, Idaho |
| Zip: | 83617-9180 |
| Phone Number: | 208-365-3534 |
| Fax Number: | 208-365-6231 |
Patients can reach Mrs. Andrea L Wallace at
2003 S Plaza Rd, Emmett, Idaho or can
call to book an appointment on 208-365-3534.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.