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Dr. Marshall Lynn Wallace

Periodontist

3 Professional Ct
Sumter , South Carolina 29150-1927

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Dr. Marshall Lynn Wallace

Periodontist

3 Professional Ct
Sumter , South Carolina 29150-1927

(803) 469-9023

Write a Review Save Call

Dr. Marshall Lynn Wallace

Periodontist

3 Professional Ct
Sumter , South Carolina 29150-1927

(803) 469-9023 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

3 Professional Ct Sumter , South Carolina 29150-1927

First Address

  • Dr. Marshall Lynn Wallace
  • 3 Professional Ct
  • Sumter, SC
  • Zip : 29150-1927
  • Fax : (803) 469-9023
  • Phone : (803) 469-9461

Second Address

  • Dr. Marshall Lynn Wallace
  • 3 Professional Ct
  • Sumter, SC
  • Zip : 29150-1927
  • Fax : (803) 469-9023
  • Phone : (803) 469-9461

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FAQs


Where did Dr. Marshall Lynn Wallace attend graduate school?

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Where did Dr. Marshall Lynn Wallace do his residency?

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Where did Dr. Marshall Lynn Wallace do his fellowship?

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Is Dr. Marshall Lynn Wallace board certified?

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What type of doctor is Dr. Marshall Lynn Wallace

Periodontist

In what state does Dr. Marshall Lynn Wallace practice in?

South Carolina

Where is Dr. Marshall Lynn Wallace ’s practice located?

3 Professional Ct , Sumter, South Carolina, 29150-1927

What is Dr. Marshall Lynn Wallace ’s gender?

Male

Is Dr. Marshall Lynn Wallace a sole practitioner?

No

Is Dr. Marshall Lynn Wallace accepting new patients?

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What languages does Dr. Marshall Lynn Wallace speak?

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Does Dr. Marshall Lynn Wallace accept insurance?

Yes, Dr. Marshall Lynn Wallace accepts insurance

Does Dr. Marshall Lynn Wallace offers telemedicine?

Dr. Marshall Lynn Wallace has not indicated if he offers telemedicine

What is Dr. Marshall Lynn Wallace ’s professional license number?

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What is Dr. Marshall Lynn Wallace ’s NPI number?

1124092697

Does Dr. Marshall Lynn Wallace have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist 2839/363 SC

National Provider Identifier

NPI 1124092697
Provider Name Dr. Marshall Lynn Wallace
First Address Sumter, SC 29150-1927
Second Address Sumter, SC 29150-1927
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/02/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
ZA9760 (05) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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