| Dr Marshall Lynn Wallace, DMD | |
|
3 Professional Ct, Sumter, SC 29150-1927 | |
| (803) 469-9461 | |
| (803) 469-9023 |
| Full Name | Dr Marshall Lynn Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 3 Professional Ct, Sumter, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124092697 | NPI | - | NPPES |
| ZA9760 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2839/363 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marshall Lynn Wallace, DMD 3 Professional Ct, Sumter, SC 29150-1927 Ph: (803) 469-9461 | Dr Marshall Lynn Wallace, DMD 3 Professional Ct, Sumter, SC 29150-1927 Ph: (803) 469-9461 |
Dr. David M Vanpatten, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2590 Tahoe Drive, Sumter, SC 29150 Phone: 803-469-3555 Fax: 803-469-3515 | |
Dr. Lisbeth W Poag, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Physicians Ln, Sumter, SC 29150 Phone: 803-775-4793 Fax: 803-934-9943 | |
Dr. William Neal Coulter, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2590 Lin Do Court, Sumter, SC 29150 Phone: 803-905-4321 Fax: 803-905-4325 | |
Eddie C Durant Jr, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 852 W Liberty St, Sumter, SC 29150 Phone: 803-773-3328 Fax: 803-773-9601 | |
Dr. Brian Timothy Bracken, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 Broad St, Sumter, SC 29150 Phone: 201-919-1950 | |
Dr. Richard Anthony Suarez-murias, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 Broad St, Sumter, SC 29150 Phone: 803-590-3040 |