DR. MARTHA COCHRAN WALLACE


Address: 1400 6th Ave S, Birmingham, AL 35233-1502
Phone: 2059301015

DR. MARTHA COCHRAN WALLACE (NPI# 1639172158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639172158
Entity Type Individual
Full Name DR. MARTHA COCHRAN WALLACE
Credential D.M.D.
Practice Address 1400 6th Ave S
Birmingham
AL 35233-1502
Practice Telephone 2059301015
Practice Fax Number 2059301448
Mailing Telephone 2059301015
Mailing Fax Number 2059301448
Enumeration Date 2005-05-30
Last Update Date 2011-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
3030 AL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS BLUE SHIELD 510-40457 01
AL BLUE CROSS BLUE SHIELD 510-40458 01
AL BLUE CROSS BLUE SHIELD 510-40459 01
AL BLUE CROSS BLUE SHIELD 510-40460 01
AL 103676 05
AL 1639172158 05
AL 103546 05
AL 103578 05
AL 103678 05

Other Providers MARTHA WALLACE

NPI Name Taxonomy Address Enumeration
1356481113 Martha C. Wallace Audiologist 2101 N Midland Dr, Suite 4, Midland, TX 79707-5507 2007-02-08
1073695722 Martha E Wallace Physical Therapist 4343 N Josey Ln, Carrollton, TX 75010-4603 2006-10-20

Office Location

Street Address 1400 6TH AVE S
City BIRMINGHAM
State AL
Zip Code 35233-1502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770108599 Janie Charleston Clay Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2020-06-09
1770124091 Sybil Rochelle Hagler Nurse Practitioner 1400 6th Ave S, Birmingham, AL 35233-1502 2019-10-08
1912553470 Morgan Massey Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2019-08-12
1700343662 Hayden Hulgan Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2019-02-27
1013484278 Rebecca Elizabeth Smith Nurse Practitioner 1400 6th Ave S, Birmingham, AL 35233-1502 2018-10-25
1023584208 Lindsay Quinn Adler Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2018-10-16
1881160067 Lacey Gammon Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2018-10-16
1417423690 Elizabeth Koepsel Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2018-10-16
1871069054 Melanie Jones Hildebrandt Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2018-10-16
1417423609 Janet Kerschner Bedsole Dietitian, Registered 1400 6th Ave S, Birmingham, AL 35233-1502 2018-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821605700 Motivity Chiropractic Chiropractor 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 2020-09-25
1477164580 Rebecca Diane Davis Physician Assistant 701 S. 19th St, Lhr 112, Birmingham, AL 35233 2020-08-12
1972136794 Faleh Ali Alshanhrani Student in an Organized Health Care Education/Training Program Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 2020-02-20
1972149128 Jessica Lynne Miller Registered Nurse 1816 6th Ave South, Birmingham, AL 35233 2019-11-22
1881156404 Chalandra Barley Registered Nurse 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 2019-04-02
1255893004 Mia Weitman Neustein Registered Nurse Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 2019-04-02
1457813214 Tabrisha Love Registered Nurse Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 2019-04-02
1356809602 Catherine Mary Verga Occupational Therapist 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 2019-03-06
1649736752 Proton International Alabama, LLC Clinic/Center 400 20th Street South, Birmingham, AL 35233 2019-02-13
1447728910 Eric Jackson Specialist/Technologist 1219 6th Ave S, Birmingham, AL 35233 2018-11-02
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134739246 Alabama Dental Professionals, P.C. Dentist 1200 20th St S Ste 202, Birmingham, AL 35205-3859 2020-08-04
1396361341 Noopur Shah Dentist 727 Stoneriver Dr, Birmingham, AL 35211-4560 2020-06-24
1396366134 Daniel Arthur Petersen Dentist 3350 Altamont Rd S Apt B12, Birmingham, AL 35205-2192 2020-05-04
1437790722 Heath Bryan Coleman, Dds of Alabama, LLC Dentist 5024 Pinnacle Sq Ste 116, Birmingham, AL 35235-3176 2019-10-08
1295393106 Ac Dentistry Dentist 7350 Cahaba Valley Rd Ste 106, Birmingham, AL 35242-6318 2019-06-05
1356818462 Sergio Daniel Loubriel Dentist 1908 Springfield Loop W, Birmingham, AL 35242-5130 2018-10-26
1528577129 Genesis Dental Group Homewood P.C. Dentist 2045 Brookwood Medical Ctr Dr Ste 4, Birmingham, AL 35209-6809 2017-09-26
1124565676 Dentistry for Awesome Kids Dentist 623 8th Ave W, Birmingham, AL 35204-3604 2017-01-23
1306291711 Melissa Santos Perez Dentist 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 2016-05-04
1326434671 M. Austin Boyd Dmd PC Dentist 5891 Valley Rd, Birmingham, AL 35235-8693 2015-04-14
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35233

Improve Information

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Dataset Information

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.

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