DR. MARK ARTHUR WALLACE (NPI# 1548358047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548358047 |
| Entity Type | Individual |
| Full Name | DR. MARK ARTHUR WALLACE |
| Credential | D.D.S. |
| Practice Address |
1901 Research Blvd Suite 200 Rockville MD 20850-3164 |
| Practice Telephone | 3013090707 |
| Practice Fax Number | 3013098169 |
| Mailing Telephone | 3013090707 |
| Mailing Fax Number | 3013098169 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5043 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538533005 | Mark Thomas Wallace | Speech-Language Pathologist | 2337 N 2nd St, Harrisburg, PA 17110-1009 | 2015-11-21 |
| 1942241096 | Mark Alan Wallace | Chiropractor | 2140 W Poplar Ave, Suite 107, Collierville, TN 38017-0624 | 2006-06-09 |
| 1669467213 | Mark Spangler Wallace | Dentist | 168 N 1950 W Ste 202, Salt Lake City, UT 84116-3007 | 2005-09-20 |
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1760753008 | Mark Edward Wallace | Psychiatry & Neurology | 77 7th Ave, #19d, New York, NY 10011-6645 | 2012-01-18 |
| 1205110434 | Mark James Wallace | Pharmacist | 301 S Sante Fe Ave, Edmond, OK 73003 | 2011-10-06 |
| 1932367539 | Mark Richard Wallace | Chiropractor | 9337 W 75th St, Overland Park, KS 66204 | 2008-05-30 |
| 1316119548 | Mark Steven Wallace | Hearing Instrument Specialist | 202 Grand Ave, Spencer, IA 51301 | 2008-03-27 |
| 1952591828 | Mark Allen Wallace | Otolaryngology | 333 Magazine St, Suite 101, Sault Sainte Marie, MI 49783-1867 | 2007-07-27 |
| 1104047190 | Mark C Wallace | Dentist | 50 County Road B E, Saint Paul, MN 55117-1927 | 2007-05-01 |
| Street Address |
1901 RESEARCH BLVD SUITE 200 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685446 | Richard Meshulam | Anesthesiology | 1901 Research Blvd, 350, Rockville, MD 20850-3164 | 2005-08-03 |
| 1689903205 | Andrew J. Sorkin D.m.d., LLC | Dentist | 1901 Research Blvd, #200, Rockville, MD 20850-3164 | 2009-12-10 |
| 1255574091 | Leudvig Sardarian | Anesthesiology | 1901 Research Blvd, Suite 350, Rockville, MD 20850-3164 | 2009-04-09 |
| 1285875005 | Nathan Benjamin Mcgovern | Anesthesiology | 1901 Research Blvd, Suite 350, Rockville, MD 20850 | 2009-03-09 |
| 1366619066 | Charles P Ciolino | Anesthesiology | 1901 Research Blvd, 350, Rockville, MD 20850-3164 | 2008-05-12 |
| 1891985974 | Mark A Wallace, D.d.s., L.L.C. | Dentist | 1901 Research Blvd, Suite 200, Rockville, MD 20850-3164 | 2007-07-26 |
| 1083833685 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 1901 Research Blvd, Suite 160, Rockville, MD 20850 | 2007-04-24 |
| 1205055894 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 1901 Research Blvd, Suite 161, Rockville, MD 20850 | 2007-04-24 |
| 1366573149 | Andrew Jay Sorkin | Dentist | 1901 Research Blvd, Suite 200, Rockville, MD 20850-3164 | 2007-03-07 |
| 1699842609 | Greater Washington Sleep Disorders Centers | Clinic/Center | 1901 Research Blvd, Suite 160, Rockville, MD 20850 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801376900 | Amelia Berrien Baker | Dentist | 4110 Aspen Hill Rd Ste 310, Rockville, MD 20853-2853 | 2018-08-17 |
| 1265933071 | Oh Cheol Kwon | Dentist | 15200 Shady Grove Rd Ste 105, Rockville, MD 20850-3218 | 2018-02-27 |
| 1104331362 | Susan Sekawaabe Nanyunja | Dentist | 2532 Lindley Ter, Rockville, MD 20850-3032 | 2017-12-11 |
| 1902328222 | Terry Lyles II | Dentist | 192 Halpine Rd Ste A, Rockville, MD 20852-7645 | 2017-07-07 |
| 1669876009 | Michael Brown | Dentist | 14264 Arbor Forest Dr, Rockville, MD 20850-7479 | 2014-10-14 |
| 1093136160 | Potomac Dental Clinic, Inc. | Dentist | 5862 Hubbard Dr, Rockville, MD 20852-4820 | 2013-12-17 |
| 1609209477 | Kathy Dipasquale Kim | Dentist | 15200 Shady Grove Rd Ste 408, Rockville, MD 20850-3218 | 2013-08-15 |
| 1215379995 | Chin-shiu Lin | Dentist | 6225 Executive Blvd, Rockville, MD 20852-3906 | 2013-07-23 |
| 1659614410 | Ghassan Elias Jacklis | Dentist | 11125 Rockville Pike Ste 204, Rockville, MD 20852-3142 | 2013-03-30 |
| 1891072260 | Richard Rehak | Dentist | 306 Prettyman Dr Apt 8201, Rockville, MD 20850-7706 | 2011-11-13 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.